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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITIOfV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereltwa.org <br />APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM J�" �S' �� <br />AL for new canstruction�. SnoA <br />IER �N�� SQ�i.\ <br />�S��G �'�UY'hc� <br />LICANT:_Ovmer �w <br />ITRACTOR� � <br />ANT BUSINESS NAME <br />�J.Q.k S ec.�.� <br />a <br />G1 <br />No._ (allach copy of long legal description) <br />�1�1`I •� <br />C � <br />Agent _Contractor _ContractofsAgent TCnenl(muslpmviaeoletlerciconsenlhommaw.nenoCawaiklnmesparo� <br />BUILDING PEIiMIT APPUCATIOk <br />L 8 I Lic. # <br />Phone/Email <br />CONTACT FOR PERMIT ' <br />31�1 • �115 • �.�I <br />PhonelE-mail � <br />CONTRACT PRICE OF WORK <br />Use of Building _� � ` <br />d Use of Building 'c � � � <br />type: _ Single Family _ Duplex_Townhouse _ Multi-Family _ <br />.__.. .�_... �.,a;�,,,.. �ze�,�dai Reoair T.I. Siqn <br />COE Bus. Lic. <br />r{�� <br />�ol.�.�t G�Yc� <br />�l LO � 1 00 t� <br />HEATSOURCE: <br />� Eteciric_ Othei <br />iolilion Chanae of <br />DESCRIPTIONOFWORK(additionalspaceprovidedonfheback): ���1 �e�` �—�Y� <br />�C�-Yia� ��G.'R'�' �-'fl i5il ho �CO'C(�Q., �c <br />MECHANICAL PERMIT APPLICATION <br />of Pm)ecl: _Now _Addn �Allcral(on _,Ropalr <br />Show Nam6er (dJ o/ �xtures <br />a/C — air handlina unils <br />PLUMBING PERMIT APPLICATION <br />ofProjecl: _New_Addn �Ilcralion_Repalr <br />Gas <br />I hereCy ceNily thal I �nvo reaA antl examined this aDPticatbn antl know ��o samo l0 6o Inio anG cortecl. WI pmvlsions ol laws and orCinances Boveming �his lyye ol work vnil be camplied <br />with whol�er spetlfeA herein or not. Tho granlinB ol a permil does nol presumo lo givo amhony to violala or rancel No provivon ol any olher slale or bcal law rcgulaung wnslruction <br />Thal I am auNotlzed by tho awner ol lhis propmty lo peAor,n ihe �vork fo�whkt� appticalion is ma0o entl I compy with IOe Stata CONradors Low 18.27 ftCW anC 298 200A WAC. <br />��'3a'12 '�� <br />O ncrlAuthorizedAgantSlpnatu <br />Date (Revised 62012) <br />