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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBItVG/SIGN/SPRINKLER/DEMOLITION <br />C!iY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 9E3201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />PROPERN TA% N <br />SE r <br />lor new cons�ruction: ShoA PlaVsubdivisian Lol No._ (attach copy ot long legal descriplion) <br />_ Owner _ Owner's Agenl <br />�i.. H.H, .i /��.,G, <br />�,�oZ- 233=J <br />COOlf0CI0f _COn�fadOf'SAgent _T6nanl(mosiF���ealenerolwnsentlmmNeoxnarlo0owarkinmespacc) <br />v�riu��- (,J;��IrfS <br />BUILDING PERMIT APPLICATION <br />x'L�Huin [ j <br />ng Use of Building <br />�sed Use af Building <br />ng type: _ Single Family _ Duplex _Townhouse _ <br />of projecl: _ New _ Addilion _ Remodel _ Repair <br />�RIPTION OF WORK (eddifional space provided on iho 6ack): <br />MECHANICAL PERMIT APPLICATION <br />of ProJoct: _New_Addn _Altoration _Ropair <br />— air <br />StateLic.# Uiti�c 87IiJ <br />u� PhonelEmail zbb <br />CONTACI' FOR PERMIT <br /><20C� 4S1' 2c[c <br />Phone/E-maB �dlo,.,..,1„'��.,y. <br />CONTRACT PRICE OF WORK _ <br />Gas <br />Multi-Family _Commercial <br />/�L Citv Bus. Lic. # <br />YS'�—Z�sc <br />Uc.G�� <br />HEATSOURCE: <br />af Use <br />PLUMBING PERMIT APPLICATION <br />of Pro)oct: _Now_Addn � Altoratlon_Repalr <br />Show Number /pl o/ /ixtures <br />Olher: �.�p.0 1 j7�� <br />Other: <br />r <br />I heieby ce�ify Ihat I have reatl nnd examined this applicalion ond knov� the samo lo be Wo and correct. All provisions ollawa end ordmancas goveming Ihis typa ol work will be complied <br />wilh whether specifed herein or not. The 9ranting o/ a pennil tloes nol presume to give auihority to violale or cancel the pmvision of any olher state or local law regulaling wnstruclion <br />That I am autnorizeC hy l�o ormer ol lhis pmDerty lo pedorm Ihe wark lo� wfiich applicalion Is matle an01 comply wit� tho State COMrectory Ww 18.27 RCW antl 296200A WAC. <br />a f c ��%-'�Y� <br />OwnorlAuthorized Agont Sic�nature � Dale <br />(Rovised 3i2013) <br />