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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES / Z-/�—J3 <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.ev rettwa.org <br />�I'v(2.-�l <br />� <br />rax <br />• • OyZ�Z7 <br />for new conslruclion: Short PlaVsubdivision Lot No,_ (attach copy ol long legal descriplion) <br />; �l�,� � .)O/� �/liti��� /`J/./Sf� PhonelE•mail <br />G <br />_Owner _OwnefsAgent _Contr.ctor _Conlraclor'sAgent _Tenant�musiv�o�aaoicucro�mme�ummmoo,nerioaowoM�nmospaca) <br /># <br />BUILDING PERMIT APPLICATION <br />Use o( Building <br />Praposed Use of Building <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family <br />Type of project: New Addition Remodel _ Repair _ T.I. _ <br />DESCRIPTION OF WORK (a�diriona� space provjrled on �he back) : <br />�o��� �� � �� s���i � <br />Ob� !'7 C JCitv Ous. Lia # <br />� <br />PRICE OF WORK ,�, la�L <br />T <br />Corr�nercial <br />of Use <br />���� ���r� <br />i rUG�/�% ��f�L � /�� 1 <br />MECHANICAL PEItMIT APPLICATION PLUMBING PERMIT APPLICATION <br />ol Projoct: _Now_Addn _Altoratlon _Rupalr <br />Show Numbcr(NJ olllirturcs <br />NC — air handiinn unitc <br />Range hood <br />Exhauslfan <br />Hcat oumo <br />SPRINKLER / SSIPPRESSION SYSTEM <br />Number of Heads <br />olProjoct: _New_Addn � Alloration_Ropafr <br />Show Number /N) o/ fixfures <br />�athtub <br />Floor drain <br />Grease Irap <br />Roof drains <br />Othec <br />Othec <br />I �e�e�y ccniry Ihat I havc mad and e�amincA Ihis app!italion antl know Ihc sumc lo bc Ime and wired. All provision, at law; and ordinanus goveming Ihi� rypo al work w1 be camD��cA <br />vnih whelner spccdie0 hcrem or nat. Thc 9rentin9 0l a pcimil doc. nol presume lo give authority lo violalc or canccl the piovision al any aR�er slale or lowl law icgulaling wnztruaion <br />Thal I am autnonzea oy me wmer o( ihis propeny to perform the work tor wnirli applicauon Is made an01 comply wi1� Ne Slate Contmctors law IB.27 RCW anE P76200A WAC. <br />� /� �/ �� /� -/3 <br />O na A thorizod Agonl 51 nafuro Dale �Revised 3R079) <br />