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� <br />� <br />PERINIIT APPLICATION <br />BUILDINGIMECHANICALlPLIJMBING/SIGN/SPRINKLERJDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.ever/E�ttwa.org <br />APPLICATIONS ARt ACCEPTED FROM 8 AM TO 4 PM 'J —I2 �� <br />fornewcon5lruclion: Shorl <br />ER <br />■� <br />p <br />tt <br />I t5 I5U 7 — <br />Lot No._ (���ach copy ol long legal Cescription) <br />� _..� (�� C- � C� - tlLlni� <br />_Owner _OwnersAgent _Comractor _Contmc(otsAgenl �7enamc�,sic:oraeecn_rorto���mnommoa.�vioao+.ca�,n,�pest <br />M��4dle�a� $«,��n <br />BUILDING PERMIT APPLICATION <br />Use of Bwttling <br />a � u�. � 23 —o� <br />PhanelEmail J�� <br />ONTACT FOR PERMIT G e <br />ionc/E�mail �a,S'].AO-4S <br />ONTRACT PRICE OF WORK _ <br />Proposed Use of Building n�� a hre„r Pc� � �as tiennc� umer <br />Building type: ,_ Single Family � Duplex _Townhouse _ Multi•Family �Commercial <br />Type of project: New _ Addilion � Remotlel ,ZC Repair _ T.I. _ Sign _Sprinkler _Demoiition_Change o( Use <br />DESCRIPTION OF WORK (atlddional space providco on fhe bachi' <br />p,c=,n��n5 bq�{ht�e+-. ancA halw)a,� kf �► coc�t . 1Ap�cc� ��-- =3� "'•�. <br />s;�" L x�t�c� i�9 s'iir.,�Q roo � q�.� addin� h..(f w'�.tt and �fi�:rkj d�hn upsi+hu. Gcnt�c 1 <br />ICAL P� RMIT APPLICATION <br />olProject: �New_Adtln _Alleration_Repalr <br />Show Nambcr �tlJ ol lidures <br />NC—air handling units <br />Forutd air svslems <br />PLUMBING PERMIT APPLICATION <br />otProject: ZCNew__Addn xAltcratlon�ftepalr <br />Show Num6er (a) ol lirtures <br />Medical Gas <br />Other: <br />I �ere0ycertM ��al l �avo reoE ena o.aminca Ihis epplcelion nn0 wnowlno samo Io ee wo ona rortecL An pmvaiona olmwa ona ommanus Ooveming mie rype olworx w00e wmpbed <br />wtli xTclner sDeciCetl �crein or nol. T�e B�nling ol n permil does not D�suma lo gNe auNanry lo Noalo or cancel lhe pmvision ol any oNer stalo ot laal hw rcB���i�g conslru<lion <br />i�at 1 am auNotlzeO Cy I�e owner olNis propeM �o pertortn ��a work brw�ic� appfsalion b maEe ana 1 campyw�� Ne S�ate Contraclon law tB.77 RCW ��d 29B100A WAC. <br />..�1 �- �— aiaa� i3 <br />Owi rlAathodzed Agenl Signaturc Date (Reviserl 6/2071) <br />`�a <br />