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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 982�1 425-257-8810 FAX 425-257-8857 www.everetri:a.org <br />� <br />� <br />far new construction: Shod PlaVsubdivision Lo� No._ (attach copy ot long legal description) <br />_ Owner _ Owners Agent _ Contraclor _ Conlrattors Agent <br />nt- �/ L�' <br />BUILDING PERMIT APPLICATION <br />Use of Builcing <br />(G� � 3S3-d��a"?l �" � <br />� 98a-o, <br />� GC <br />enaNi„�, �EoaleYcrofmmenlhca..eo�nr <br />City Bus. <br />PhonelEmail <br />7R PERMIT <br />PRICE OF WORK -O <br />HEATSOURCE: <br />�roposed Use of Building �as_ �rccmc__ vinm_ <br />3uilding type: _ Single Family _ Duplex ,_Townhouse _ Multi-Family _ Commercial <br />i ype of prajecC New Addition _ Remodel Repair _ T.I. _ Sign _Sprinkler _,Demolilion__Change of Use <br />JESCRIPTION OF WORK (add�tionai space provtced on the bacx : � <br />�� /n J/-�, �� n t,., v41 k, n Cou f er u�-J <br />-id <br />�,-�,d� (� txTs fi�s Po��-'�. �l Iz iz - o d� -,-� o,�d ne�. �..�.a � a_J Joui. <br />MECHANICAL PERMIT APPLICATION <br />of Projoct: ✓F7ow _Addn _Alteratian __Repair <br />Show Nunr6ci (H) ollir}ures <br />water <br />ra <br />PLUMBING PERMIT APPLICATION <br />TypeolPro�ect: _New_Addn _Altaration_Ropalr <br />Show Numbcr (a) ollixtures <br />I Toilet <br />Other: <br />I �meCy wmty Ih:+t I �ave rCad antl ezaminetl t�is appliwtion and know Ihc same lo Ee Irue antl runed. PII pmvisons of lawe and orE:nances goveming l�is typa ol work vn!I �c mmplicE <br />w�tn wneNer •.pe:R�e011ereinor not. TTe A�anling ol a petm�l Coes not D�esume to gNB aclhomy to viola:e or canccl flle F�onsion oi anyo'ner sla•a or lotal law reg•�la;ing ConstNtlion <br />7hat I am auNorixetl �y tne owner ot Inis proDeny io pertortn t�e work lor xOiN apptiw�ion Is maee and i fvmpry wi'J� tne Staie Conlladon Law 1B 27 RLW anC 296.20JA WAC. <br />. � �� ,2 '��� <br />O�'norlAuthorizod Agonl ignaturo Dale IRevised 9R073) <br />