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� <br />� <br />PERIVIIT APPLICATION <br />BUILDINGIMECHANiCAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 —�rivw.everettwa.org <br />APPLICAT�ONS ARE ACCEPTED FROM 8 AM TO 4 PM %— "" I <br />ADDRESS: PNOPERTYTA%N P 11T4 <br />�f�fh0 ����..00c! p�, 0�<f�fqSdDoO�f300 /Q/p=Q2" <br />�L for new eonstmchon Shon PlaVwbdivision Lot <br />ER ' Q W �!A � C.O {^'� A� •/i � 4 � a Phone/E�ma <br />:s " l O O U D� �,,, o r p( GtylState2i <br />fRACTOR SC' � S h� i L 8 I Lic tl <br />�/;c� �2:d�E Co��. Llti�� <br />BUILDING PER IT APPLICATION <br />No. (attach copy of long Iegal descnpt�on) <br />,� yac dsa.a��� �:�w�,a��.�� <br />,�, �oM <br />�� �e -I � W�1 `18� <br />��ol�er k �f-�? . `Id 3. �+35� <br />PRICE OF WORK 3 S, p OD <br />�g Use ot Bwldmg ��, C� O�f' W o� S�. p HEAT SOURCE. <br />ised Use of �wlding S q� C�. Gas� Electric_ Otner_ <br />ng type: _ Single Family _ Duplez _Townhouse _ Multi-Family �i Commeraal <br />of project: _ New _ Addrtion Yj Remodel _ Repair _ T.I. _ Sign _Spnnkler _�emohtwn_Change of Use <br />�iption of Work (add�t�onal space p`omtletlon fhe backJ �l n� y A!� / �, � <br />e%1 L � O S� h 1 (I 0!( (� , li GtGI. N Q ��� �[ S�i �O O r• V /t �� s� H/f- <br />�� J <br />you started workin9 wilhout a permil7 _YES �NO <br />MECHANICAL PERMIT APPLICATION <br />ol Projecl: _Now �Adtln _Allcratlon _Repair <br />Show Number (a) ollixturrs <br />NC - au handl�nq unAs <br />NKLER I SUPPRESSION SYSTEM <br />PLUMBING PERMIT APPLICATION <br />01 Pro�ect: _Now �Addn _A�tcration _Repalr <br />Shnw Num6cr /p) of lirfures <br />sink 8 <br />Metlieal Gas <br />Other <br />Other <br />I heie�y cenlfy thal I have reaG anC ezamine0 Ihis applicahon and know the same ta be hue anC correct Ail pmvisions ol laws acd ord�nances goveming <br />Ihis type ot woik will be complied wilh whelher specif,ed herein or nol The granting o1 a peimit tloe; not piesume Io give authorily to violate or ca��cel <br />the pravision ol any olher stale or local law re9ula�ing conslruUion er Ihe pedormance ol conslmclion. Thal I am aulhoiited 6y the owner ol t�is P�operly <br />tu perlorm Ihe work lor which apphcaUon is nrede anJ I wmply �nlh Ihe Stale Canlractors Law 1827 RCW antl 296.Z00 WAC <br />OwnedAuthorizod Agont Slgnaturo Dalc (Rev4etl 7.7077J 1�2 <br />