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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUPJIBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES �— -r'j--j L� <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereriwa.org <br />)DRESS: ^^ I � �YQ.C�y} 1 1 M11 I.,Q� �PjROnPERTY TAX p I P��i � D I� OD �f <br />d�•/� , � U� � <br />lar new conslruction: ShoA PlaVsu6divisian Lol No._ (altac� capy ol iang legal description) <br />� PhonelE•mail <br />CAy/5talelZip <br />�ANT:_Owner _Owner'sAgent /�Canlrattor _CoNractor'sAgent _Tenanl(rvsiv�•�eoamceroimnsenir.omu�oo«ner:ouowaMm��ospace� <br />s <br />E�ieN <br />Fn�mERs <br />12.CV�LeJ �Stalelic. <br />r-�3y m�ll cr�K wA <br />ING PERMIT APPLICATION <br />Frc�nk, <br />l� `I `1�%Ylx Ci�y Bus. Lic. # <br />�.3�,9ibo �+s�y� <br />,3s�r <br />,;o .9 �bo <br />PRICE OF WORK <br />Ezisting Use of Bnilding �S.�I�'�7Y12.fC � � <br />Proposed Use of Building `[.i1Y'F <br />Building type: _ Single Family _ Duplex _Townhouse _ Muiti-Fam�inly �Commercial <br />Tvoe of oroiect New Addition Remodel Repair T.I. _/`Sign _Sprinklei <br />DESCRIPTION OF WORK �admtionai spaceprovidedon ihe tackl: <br />In�fiall one (�j� �°�-' c���P�u*( <br />( <br />MECHANICAL PERMIT APPLICATION <br />Typo of ProJect: _Now _Addn _Altoralion _Rapair <br />Show Numbcr (M) o/ llaYures <br />Number of <br />bMs�grrC w+sn-Cd^il <br />� � �j�0. aG <br />HEATSOURCE: <br />_ Eleclric _ _ Other_ <br />iolition Chanqe of Use <br />PLUMBING PERMIT APPLICAT�ON <br />a1ProJoct: _Nuw_AdEn _Alteratlon_Ropafr <br />Show NumDei (e/ o(lixfures <br />L <br />Roof drains <br />Medical Gas <br />Other <br />Other: <br />I hereCy cen,ly that 1 have rcatl ontl examined this eppiiwl�on antl kno« the same to be Iruc and mrrcd. AA D�ovisions al laws and orUnances geveming thu lype ol nod w1 be compFetl <br />wil� wl�ether spectlietl Oerein a not. Tlie gmnlmq ol a pertn� Ooes nol D�esume Io give aut�atdy Io viotate or rancel I�o provisron al any ol�er state or loeil law regula;in8 �onsuuction <br />Thal I am au��onzeC Ey Ne owner al Ih�a D�oDerty ta perform t�c xork lar xTiU� appliwhon is made anU 1 wmply wnh Nc Slate Conlranors taw �B 27 PCW anU 296.700A WAC � <br />\� <br />O arl uthoNzod Agunl Signa re �Dale� (Reviaad 3/t013) <br />