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CITY OF [VERF"I'I - Get PDF.aspx <br />_ • <br />2of7 <br />hup:/hvw w.evcrcttwa.oryGct_PDF.asp�?pd fl �=6= 0 <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CIN OF EVERETT PERMIT SERVICES <br />3200 Cedar St.. Everett. WA 98201 425257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AI•1 T04 PI•1 <br />"'..�..... PfiOVERTYTA%0 P RMITp ,�.1I <br />C.r C�.:��rr r`'`�.u- '�`'rn'S <br />IOrnEW(Y1n5tNOi0n ShOrt <br />0 <br />NO <br />ll <br />oo3C;�lOvo �'�3n3— <br />(�ttacn cvpy ol �ong �egal tlesrnpGon) <br />,D7 S J I WC 4,y,�,u ��V W. !� w. <br />�fT: Qmer O+.ner'sAgent �CcnVactor _Co�VaaofsAgent Tenant(mno�ecanne�naonsenii�omocawic�maown�niromsel <br />'TOR G�-%�'�'�� S��-'7�`S L 8 I Lit #�u+`L'�-5 L`j Z� mu COE Bus Lic # <br />� Z u 4 N E I-7 5 n� '�� IL�-r.l�•neU, L.f� Pna�ermaii �I ZS. �-i �i S. 4 t� oU <br />UILDING PERMIT APPLICATION CONTRACTPRICEOFWORK <br />isting Use of Bu�iding _�U GC._ S�k1�"-7 U"'J — <br />oposetl Use ot Bwlding �V �l- 5� ?�"`�� UN G�� <br />ii�aing type _ Singie Famoy _ Dupier _Townhouse _ Muiufamdy , Commeraal <br />�pe ol Drc�ect New Adddion X RemOtlel ___ Rep2ir ___ T I __ S�pn __Spnnkler __I <br />ESCRIPTION OF W ORK ladddienalspace prov,ded on me back) <br />3 Wall �� jr�s ( I�tt�) <br />MECHANICAL PERMIT APPLICAYION <br />otPto�ecc: �New_Addn _AlleraHon_Repair <br />Show Number (N) of fi�rturcf <br />A1C - air han0lmq urnt5 <br />nooa <br />d IJn <br />/SUPPRESSION SY <br />OG <br />T <br />oi <br />PLUMBING PERMIT APPLICATION <br />pe o( PreJ¢ct: _New _Addn _Alterallon _Ropalr <br />Shaw Num6erlN) olliMums <br />sink <br />heater <br />Grease l�ap <br />Rool tlrains <br />Med�cai Gas <br />Olher <br />ain <br />Number of Hea05 v�ne� <br />1 hereEY �e�tA� mat I �a.e iead a.+E e�ammeE Ihis applea4on an0 hnowNe same to Ee true anC co��e<t N pio.mons of iaws and oiCmances goremmqt��s type ofwo�k w�l �e complrU <br />w�� �f�eih¢r sp eu(red n e�e�n o� not. Tne graminq of a p erm� tloes �oi p�e wme m gne autno��y m.iolate oi canrel Ihe D�on�on of anr othe� si�le c� bcai law �egulatn9 cnns�mcion <br />TAaf I am aulh�nreE 6y I�e owne� ol t�n peopenr �o per(arm Ihe work lai wNrli appicalo� is made anE i mmpiy w+ln i�e $late ConlraUors Law 18.27 RCw ane 196 70M�"/AC <br />�� �.. ��� 3 % ZS/ �3 <br />OwnerlF odzedAgentSipnature Daie <br />(Rev�SeU 6/1012) / <br />I/ � <br />3/25/2013 5:16 AM <br />