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PERMIT APPLICATION <br />BUILDINGII►/IECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everetlwa.org <br />APPLICATIONS ARE ACCEPTED FRO�d 8 AM TO 4 PM <br />fornewwnslrudiort Ston <br />_LOI No._ (atlach copy ol long legal tlesCnptiCn) <br />_,Owner _OwnefsAgent _Con�raclor _ConiractoYSAgenl ][,TC�dOi(muvp�o�iCe�ksiolwmmi�amNacvnvloCor.cninnoeprs) <br />$��IC.ii <br />�-c�Rv,�,, i��/ae.� <br />BUILDING PEFh11T APPLICATION <br />% a�.i.�1ua �� <br />20G 791- (o0 36 �%�s� L° <br />PRICE OF WORK .�SOD i da <br />Use of Building MG�-C�h: U.LCi HFAT SOURCE <br />dUSeo(Building ��ykc�0„� _ Gas_ Eieqnt,___ <br />type: _ Single Family _ Duplex _Townhouse _ Multi•Family � Commercial <br />�roject: _New Addition _Remodel ReOair,/ T.L. Sign_ .Sprinhler Oemolition _ Changa <br />ESCRIPTION OF WORK /uamtronai spacc pro�ioed o� mo oa:k1: <br />�����f � <br />� <br />MECHANICAL PERMIT APPLICATiON <br />o1PraJeet: _New_Addn _Allerollon_Repal� <br />Number of <br />Ot�er <br />of Use <br />PLUMBING PERMITAPPLICATION <br />alProject: _New_Addn _Alterallon_Repalr <br />Other <br />Olher. <br />washer <br />I �cre�y ecNty Nal l �ave wa0 antl ewmince l�a applicaGan ena Ano.v No same lo Oe wo an0 conen NI O�vaions ol laws ocOaNmancee goveminp t�is rype ofwo�k ni0 Eo mmplieE <br />wn� xfieNer zpeufMO �erein or not TAo pmnti'g ol o pertn�� dcee nol fmsumv lo ONe oulnonh Io vio!alc or cnncM i�o pmnsion of any aNer ata!e or loe�l �w mpulal�np camW vUon <br />T�at I am eutl�anlea �y ��o owner af I�ia propeM �o pertorm t�o wa.�k PorwAith oppicati�n b maac an01 rampl�wl� Te Slaie CanVaCcn Low 1B 27 RCW onU 290100A WAC. <br />� <br />(Revised 6i20f2) 1� Z <br />