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PERMIT APPLICATION <br />BUILDINGlMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425257-8810 — FAX 425-257-8857 — w�,wv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRES PROPERTYTAI(p P Mi <br />i,.-�F �n.�a� ,�-k no5�t��a �C'' p��nr�'-- _i u�-Ol \ <br />for new consirut!ion. Sh�rt <br />t_i_ L <br />� <br />No. �'__ (aUaU coDY of long tegal descnDtion) <br />Iy;State�bo ��/ i�.Y�-tY , �/ � <br />siu�.a NTL�NDZi�b91D�. <br />S Phone�[n�Ti ��O �, <br />ONTA�CnT FOR PERMIT��� <br />i�'i Wf�.� ��,� �._ _ � l� <br />BUILDIN� PERMIT APPLICATION CONTRACT PRICE OF WORK wa a�� �!.��� <br />E.�sting Use of Bwlding (�Q�� s�Q HEAT SOURCE: <br />P�uposed Use of Building� �J � Gu_X E'�ectnc___ O:her_ <br />Budd�r.g type: � Single Family _ Duplex _Townhouse _ �dulti•Famity _ Commercia� <br />Ty�r cf prolect � New _ Addition _ Remodel _ Repair _ T.I. _ S�gn _Sprmkler _Cemolition_Change ot Use <br />Description of Work (adddronal space prevideC on fce Dackl � <br />J V� �ci� f�:.11 Sl� <br />Have you started working without a permit7 _YES � <br />�MECHANICAL PERMIT APPLICATION <br />ol Pro�ect: �New _Addn _Aitoration _Rapair <br />how Num6or (tl) ol fixturos _ <br />A/C — air hantllino umts <br />t I Forced a�r svstems <br />heater <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />of ProJoet: �New __Addn _Altoretion _Ropair <br />Show Numborls) ol �xturos <br />� I il1�NpPc q:"i5i:^.f <br />_1— " <br />� "�f.hClftG� <br />' SinA (servitclb: <br />BacAflow preve <br />Urinai <br />Onn;inq Founk <br />Floor drain <br />Grrasc lrap <br />Roof drams <br />M11eC�cal Gas <br />� O�her: <br />I hereCy cehity lhat I have maC anE examined ih�s ap0,¢a�ion and 4now Ihe sime to �e Uue and ccrrect. Ali provis:ons cf la��s and eN�nances govM���g <br />th , type oi work wll be complied vnlh wtwther speufied he�ein or nat T�e granl�ng of a permd Goes not Dresume ta grve aNhonry lo walale or cancel <br />t e v�sion ol any other s�ate or lowl Iaw regulafng consw:t�on or Ihe pertomance ot construcUon. Tha1 I am aumorized by Ihe onno d iha proper,y <br />pe o the wark lor wfi�ch appGcation is made and I cemply vnlh the State Contracters Law t B27 RCW and :96 200 W AC <br />f '� <br />Ownnrt n tlz A ntSinnaWro ate (Fcvac.'.'.10fi) <br />