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� � <br />PERMIT APPLICATlON <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SFi�INKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />sis. <br />fornev+conslruclion: ShorlPlat/subdivision_. <br />STyGz/iUc� <br />/ S - ,Sti f= �Y �Y �� <br />_Owner _Owner'sAgent <br />/S-/� 9'x <br />5����/�//G!� S <br />rax a <br />�/�a0—l�i <br />P�IT�II- UOS <br />No._ (attach copy ol long legal descriptian) <br />PhonelE�mail <br />City/Slate�Zip 'L>w � <br />COOIf2CfOf _COfIlf8CI0fSA9CN _TBOdOI�rt.vs�pronCealoCeralca�sen�trominocwn^.rlaeawc.+�nmaspace) <br />�s� s <br />ING PERMIT APPLICATION <br />Use af Building <br />a r�� '�`-r L 8� l� � c�ty sus. uc. xGS.2�3 Z <br />Phone/Emaii <br />f FOR PERMIT �v� e oi t�` r <br />yzs-3�S-d ��r� <br />a�i /J_ '.�. � „ � , � ./S'i m f.v �o /+ � <br />PRICE OF WORK LSUO •0 <br />HEAT <br />oposed Use of Building / ���� t 'S� � P I Gas_ <br />�ilding �ype: _ Single Family _ Duplex _Townhouse _ Mulli-Family � Commercial <br />�pe of proiecP New Addilion Remodel Repair T.I. ,X Sign Sprinkler _Demolii <br />ESCRIPTION OF WORK (addllmnal spacep�ov�dedon fheDack): /J� �J���� � � xi�,s f��n�s' <br />/�. <br />�.'yn S w•'t6 �vP w S�'F12/�v [ h-S �.ssj-a�'S 2 r P/a �c <br />,g��f v�i't�, y��.�. G.C=. � O,'�r��,b.�o/�' SIbM . <br />MECHANICAL PERMIT APPLICATION <br />oi Project: _New_Addn _Altcration _Repair <br />Show Number (N) o/ lixfures <br />A/C — air handlina unils <br />SPRINKLER / <br />of Heads <br />� <br />lon_Change of Use <br />S j'/1 R/fr/c!c S' <br />G X• S�� v$ D�'/t ( <br />PLUMBING PERMIT APPLICATION <br />of Project: _New_Addn _Altcration_Repair <br />ShowNumbcr(#1 o(lixfures <br />wa <br />Medical Gas <br />Othec <br />f•! <br />/ <br />I �ereCy cetlily Ihal I have read and eKaminetl I�is apphcation and know I�e same lo be �me and correcl. All pmvisions of laws and ardinances 9overning ihis lype of work wi:l be campi!ed <br />wi1� wnelher speciGeC �erein ar nal.7ne grenting ol a pertne Uoes nal presume Iogive aul�ority Io violale or cancel the pmvision ol any ot�er state or local la�v regulating tonslmclion � <br />Tnal I am autltarizeE �y lhe o�.vner oi Ibis Dropeny to petlorm Ihe work �or �vhich applicalion is matle anC I<omply wM1� ��e Slale Contrecbrs Law 1927 RCW an0 296 2UOA WAC. \, � <br />f� O NG✓ "I J ^ �/ / � <br />OwnedAuthorizedAgen Signalure Date �Revised3i20i3J <br />