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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98207 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />TNC N <br />�I — 0�(.) <br />� <br />lor new consln.clion: Shoh PlaUsubdivision Lot No._ (��tach ccpy ol long Icgal description) <br />, Owncr __ OvmeYs Agent <br />`� i� <br />PhonelE-mail <br />COfIIfdC10f COf1IfdCIO(SA9BfIS __TCfld�l�mus!pvnCoaie:;erclwn:erilremv�eonnerbCOMohInNe:�ace) <br />Lic. � Cily Bus. Lic # <br />(.iT/J' P�onelEmailU(1�ni.,V.Wte�•�-. � <br />iE`���C�F �i�t77G cuninci rvrcrcnmii � Lft.� -,.72. �O� � <br />C'�-c`c5 lao �� i.. h. <br />J '� Phone/F.-mail . 9 �� � L �'1'ls �O°n <br />BUILDING PERMIT APPLICATION CONTRACTPRICEOFWORK �%d <br />Existing Use of 3uiltling �y �`- HEAT SOURCE-. <br />Proposed Use of Building I�� _ Gas _ Eleclric_ O�her__ <br />Bwlding rype: _ Single Family _ Duplex _Townhouse _ Mulli-Family _ Commercial <br />Type of project: New _ Addition _ Remodel ___ Repair _ TJ _ Sign _Sprinkler __ Demolition_Change of Use <br />DESCRIPTION OF WORK;add�nona�spacep�ev�dedcntheeacei. <br />MECHANICAL PERMIT APPLICATION <br />of Project: �New _Addn _Alteration _Rupair <br />Show Numbcr (N) ol /ixtures <br />i GIC - air handlma uNis <br />�nua <br />Heat <br />ler <br />PLUMBING PERMIT APPLICATION <br />ol Project: _Now _Addn _Altoralion _Repair <br />Show Number(q) o//ixlures <br />Other I 1V1CO1�" "�' <br />SPRINKLER I SUPPRESSION SYSTEM � j O�her: <br />Num o( Heads � Other: <br />I �ereby ceroly t�al I have read nnd examined �his epplication and know ihe same lo Ee tme anE wrretl. All prmisions ol laws anC crCinances goveming this IyDe ol wcrk wal Ce compi�e� <br />wnh whei�er specifieC �er or not The granting ol a Dermit aoes ncl C�esume lo9ive au:rteriiy to vioiale or cancei I�e provision o� any a�er sta;e cr iocal IxH mgulaling construC.on <br />That I am a �orizetl Ey 1 pwn � is p p y lo peAorm the work lor enic� appliw'ion is maCe antl I comply wn� t�e Siale Con'raclors Law 1827 RCW anE 296100A WAC. - <br />f!�-�s- ��5 �lz. <br />_ .. .. . _ . . . _ _...._ .. e i„ rFe:;sea _a�+3 <br />