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PERIV4IT A�f�LICATION <br />BUILDING/MECHANICALIPL.UMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Evereft, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />� <br />(�- <br />for new consiruclion: Short PlaVsubdivisfon Lol No._ (atlach copy ol long legal descriplion) <br />, (n/i1D �% L1�/S �� Phone/E-mail <br />� <br />_OvmefsAgent _Conlractor _ConlraclofsAgent _7enant�r��siP:��ooa;oixr��r��ecci«cmmo�n�rimowoix�moeP�«� <br />/ <br />BUILDING PERMIY APPLIGAYION <br />BuS. Lia # <br />�rnone�tman �, r/D —l01 � ' <br />ORPERMIT /�03j fj�y. <br />� d,� - ti s-o • � �C 1`" <br />PRICE OF WORK <br />ExistingUseafBuilding �y1s0%�% l���L /� I <br />Proposed Use o( Building !!�U%% LL Fr L/ C <br />Building Iypc _ Single Family _ Duplex _Tovrnhause _ Mulli-Famity �Commercial <br />Type of pro�ecl�. New Addilion Remodel ,� Repair _ T.I. Sign _Sprinkle� <br />DESCRIPTION Of WORK fadddional space provided on fhe baCkJ: <br />MECNANICAL PERMIT APPLICATION <br />olProject: _New_Addn _Altnratton_Repair <br />Shmv Nunr6ef(H� o//ixfures <br />SPRIN <br />Num6erofHeads <br />HEAT SOURCE: <br />/� �ii/��U {� vG <br />Olhcr <br />of Use <br />PLUMBING PERMIT APPLICATIOM <br />o(ProJecL• _New_Addn _Altcralion_Repair <br />Ofher: <br />Other: <br />I her.by cemfy Ihal I haw reatl and e.amined Ihis app!iwtlon and knawNe same lo be Irua ond coirecl. All pmvisians ol laws and orCinances govPmin9lhis lype o��wik wAI be romplied <br />�nth whelher specifed hercin or nal. i�a granl!ng ol a pcimil does nol presume lo give au:Aorily lo violale cr cancel I�c provision ol any olAcr slate cr lowl law regu!aling connUuclion <br />Thal I am aulhorizeC ey IAe owner ol lhls piopeM lo pertoim Iho work for w1i�Ui application Is m�de antl I comply wiln I�e State CONracbis Law 18.27 RCW and 296100A WAC. <br />��`'�.�'L` �%%%iiL�C � `2 ,S- % % �2 <br />!)wnnrlAidhnrirod C aATQinnahirn n�ln /Rnvimd.7D0191 <br />