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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />�—��—�� <br />ess <br />1! <br />for new construclion: Shor1 <br />�S,�S , <br />Owner Owner's <br />G <br />s }�s <br />a <br />No._ (allach copy ol long legal tlescription) <br />Contractoi Contractor'sAgenl TEOdM(muslp�•viEaulalte�ofwnsenllmmNoo�Hne�loEowoMminospaca) <br />���-.. .. i J.. c���e i�� e Cilv Bus. Lic. # <br />BUILDiNG PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Exis�ing Use of Building HEAT <br />Proposed Use of uilding Gas__ EI� <br />Building type: Single Family _ Duplez _Townhouse _ Mulli-Famiiy _ Commercial <br />Type of projecf New Addition � Remcdel _ Repair _ T.L _ Sigr _,Sprinkler _ Demolition <br />DESCRIPTION OF WORK (aodrtiona� space n�oviced o� me back): <br />MECHANICAL PERMIT APPLICATION <br />TypeofProject: _New_Addn _Altcration_Repalr <br />Show Numberlpl oI lixfures <br />ra <br />Number uf Heads <br />of Use <br />PLUMBII�G PERMIT APPLICATION <br />of ProJect: _New _Addn .__Altoration _Repair <br />Show Nurvber (MJ o/ prNres <br />Olher. <br />Other. <br />Gas <br />I �eie�y cerldy I�al I �eve rea� antl e�amined Ihis appbc2lion an� Fnow I�e same lo Oe true and couecl MI piovis�.ons ol laws antl ordinance, 9oveimng Ihrs lype cl woik wJt be compl.ed <br />wAh wnelher specAieC hercm o� not T�e grenling ol a perm�t tloes nol pretumo l0 9rva aWncnty lo vinCtle or cancel I�e p�ovision ol any elher eiale or Iar.al Iz.v ie9ulatiog ccnslrutlion <br />TM1� I 1 am au��oriud by Ihe owner ol lhis pmpeity lo petlonn Iha wo�k for whicn apD�icalion ¢ rnn0e nnd I comply wtlh IhC $lale Conlraclors Ww 18 27 RC W en0 296 20JA WAC <br />OwnorlAulhori d Ag Signalure Uatc (Revised 3/1013) <br />