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c��rK�1m�86aZ <br />PERMIT APPLICATION <br />B�1ILDING/MECHANICAL/PLUMBING/SIGN/SPFtINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa :o�g <br />Z S���Ve� <br />lar new constiuclion: Shoh PlaVsuhdivision, <br />Owner _ OwneYs Agenl Coniractor Contractor's <br />c ) `r '� � S+a� <br />���e�c�er �'�' . . _ <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />d Use af Buiidir <br />TAXN <br />No._ (anacb copy ot long legal descnption) <br />ing type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ <br />o( project: New _ Addition _ Remodel _ Repair._ T.I. __ Sign <br />CRIPTION FWORK(additionalspaceF���dedonfheback): <br />� d� ba��'oo,� -b � 1 e,-� ,� I oo�r <br />� � w � er <br />TenBfd (musi pwNeo e �oticr o� mnsem <br />PRICE UF WORK <br />Commercial <br />����h i ��U � <br />'�a� k. <br />lo Eo woA In No spacc) <br />Lic. # <br />of Use <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />ol PraJoct: _New_Addn _Aftorollon _Ropalr ypo ol PraJoct: _Now_Addn _Al�crotion _Ropair <br />ShowNumberlpl olfixfures ShowNumbcr(p)ollixturcs <br />Gas <br />hood <br />Number of Heads <br />sink 8 <br />washer <br />Medical Gas <br />Othec <br />O�her: <br />I hereby cenily Ihat I have reaU antl ezamined Ihia applic�Van and know the samn lo be Irue anA mrred. NI pmvisions al laws and ardinances govemin9lhie lype o�waik vall be comMietl <br />wilh w�ether specifed hriein opr not. lhe granling ol a pertni� does nol premmo lo give aulhanry lo violalr or wncel Ne provisian of any oIDer sta;a or loe�l law mgulating consbuclion <br />That I am aWhorued by ym owprr allhispropGty Io pcAorm I�c vmrA for whirh appliwiion �s m�ee and I comp�f wil� t�e State Conlraaars Law 18.47 RCW anu 29GZCOA WAC, <br />Slgnaluro <br />Date <br />(Revised ]/1073) <br />