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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITIOt�I <br />CITY OF EVERF_TT PERMIT SERVICF_S <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />AODRESi: <br />� 5G E�1 �� <br />fornewconslruction: Short <br />UCANT:_Ownei _OwnersAgenl <br />Z <br />�� <br />BUILDING <br />W <br />APPLICATION <br />TAX p <br />No._ <br />PERMIT <br />copy of long legal descriplion) <br />_COf11fdG10f5(iJBOi _TBO�OI(musipror4v01otterciconsentlrmt�avnnerloCowoM1iql^�ospaco) <br />isting Use of Building lr�('^1�^pSC—lfi� __ <br />�posed Use of Building (� T� f✓�n.n f Glfl�— <br />ilding lype: _ Single Family _ Duplex _Townhouse _ Mulli-Family � <br />pe af projecC New Addilian Remodel ___ ftepair _ T.I. �S <br />'SCRIPTION OF WORK (aedifional space provid^d on fhe back): <br />�tit5 lf�U-- 2_ CAT3ltiE`i Sl�(�S <br />MECHANICAL PERMIT APPLICATION <br />of ProJect: _New _Addn _Alteratlan _Repair <br />Show Num6erlMl o/ fixfures <br />—air handlina units <br />air <br />lan <br />.� <br />NumberofHeads <br />Bus. Lic. # <br />nail ��Cl�f `�i� 'riS / `7 <br />"�} pcu,?i1 �.�, vr<�.v, C� w�s�, <br />—4S� — �iS <br />PRICE OF WORK ZSd o�_ <br />HEAT <br />Commercial <br />o( Use <br />_�i� �� .`� . . <br />PLUMBING PERMIT APPLICATION <br />otProJect: _New_Addn _Alte2tlon_Repair <br />Show Num6crlp) o/lixtures <br />Dishwasher <br />Floor <br />Other: <br />Other: <br />Gas <br />I hereby ceM1fy Ihat I have read and examinetl Ihis applica:ion and know Ihe same lo ha Iroe antl correcl. All p�ovisions al laws 2nC orOinances goveming Ihis lype olwork w.11 be complietl <br />wdh w�elner spea�e0 �erein or nol. lho grantinq ol a pertnil tloes not presume Io 9ive aul�onry to vialate or canccl Ihe pwvislon af any oNer slale or lor�l law �egulalin9 conslruclion <br />TTat I am auNanze ihe owner o/t�is pmpe�y to petlorm t�e wotk forwhich applicalion Is maae antl 1 compiyw;lh I�e Slale Coniracmrs Law 1817 RCW an0 2962COA WAC. <br />— �Ibl y� <br />OwnerlAuthorize AgantSlgnatur Date (RevisedY1013) <br />