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PERMIT APPLICATION <br />BUILDIN" MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERtd1T SERVICES <br />3200 Cedar SL, Everetl, WA 982U1 425-257-8810 FNC 425-257-8857 www.everetriva.org <br />fornewconslmUior. Shon <br />PPOPERTY TA%p <br />,y 7 Z �i <br />Loi No <br />Pnonel6ma:i y; <br />� <br />(atiach cccy of long leqa! Ac;cnpl"on) <br />_Onne� �C_O.voer':Aqenl _ Coniri�,or __CoriraUor'SAge�'t _T������.�:�;�nrai.ae�c•cw:�r.•.•-o^�rec.-c���r.a����..�...�� <br />o�r� tim�y/cv�.�-r.,�-�c <br />BUILDING PERMIT APPLICATION <br />L�c. k <br />)NTACT FOR PERMIT <br />A•3' c✓EnGEz.ra-,... <br />��e;E�mnn L/)_.�' 322' i <br />ONTRACT PRICE OF WORK <br />Exis�ing Use o( Building ���} ,j� <br />Propased Use of Budding n YTid�F-7 <br />cudding type�. _ Sing!e Family _ Duplex _Townhouse __ IdullrFamdy _ <br />Type ol pro�ecf New Addnion X Remodel Repair T I. 5 <br />DESCRIPTION OF WORK i���d�t�u�ai spare p�omocd �� mc oac�) . <br />S TA2� A2avj W q�LdL/ �.e.LNX66" LY.� �'�o <br />hiI��IJtL`l. <br />APPLICATION <br />ol ProjecC _Now _ Addn _Altorltion _Repair <br />Show Number (p) o/ (iriuras <br />Nf. - au handhno umis <br />� Heat um <br />Um� hr.alr.� <br />Bcilcr <br />Refri eratio <br />WooA�;lave <br />Ductinq <br />ONer <br />SPRINfCLER / SUPPR <br />� Number of I <br />ON SYSTEM <br />Cammeraal <br />PLUMBING PERM <br />cily BUS. L�c tt <br />_,3r� <br />� � ��� <br />A'T I O P! <br />ot ProjocL __Now _Addn _Alteralion _Repair <br />Show NumDnr (tf oI fixmres <br />Todct <br />Ba�hlUb <br />Lavale wash Dasin) <br />Showcr <br />Kdchrn sink 8 Ais osal <br />Uishwasher <br />CioUies waslrer <br />Wate: he:ilei <br />Sink (servicMOadmo �etc. <br />Backflow reven�er <br />Urinal <br />Drinkin Founlam <br />Floor Crain <br />Grc�isc lra <br />Rool drains <br />Mediwl Gas <br />I otner. <br />I he�eov ccOry �i,at � na.e �eae ana e.a�nneo iee oed�ei�on ana knoN ine same �o Ce vuc ana ronca al wovauns of Iavrs ana o�ainances 9overn�ng tn:s �rUe o� werh wli M: con�e <br />w.:� wRCI1�Cf S�(Y.ifipd M1C�C:9 O� I�01 1M DIdCIlIq O�.l pCRll� �pC51101 pRSpmp 1011�'P dllliqMy 10 vpld�p Of GOfR� IIIE ObV6�0001 d�y 0111CI S�d1P O� IOWI ��W iCy'V�IIi�Q COf6INC1iOn <br />Li.i1 I am amhorve �y mc cwner ol tnr, piopem �o ocdorm �ne woM lor wnr.n apo'����� 6 madc anE � mmply wr,� ��e Siate ConVatlo�s Law tB 27 RCW and 29fi:00A WAC <br />Z Z 1/ Z <br />O r/A orizod Ageni 5igniNro Lnir �Rev�sed9':01�1) <br />