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PERMIT APPLICATIOfd <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everetl, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa`oig9 /,G <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � Y <br />ADDRESS: PROPERTYTAXp P MI <br />m� ��. F.�.�r.��- rn�u ,����., ��I�n�_hn� <br />lor new canstruclion: Short PlaUsubdivision Lol No._ (allach wpy of long Icgal descAption) <br />_ Owner _ Ownefs Agent <br />BUILDING <br />Use of Buitding <br />CONfBCiOf _CO�IfdCtOYSAJC�I _TC0011I(musipmvqoobnerolwmcnthomVrovannb0awhinNospace) <br />IT APPLICATION <br />&ILic.# <br />�� <br />PRICE OF WORK <br />d Use o( Buiiding L�mw�r��,�,�_ �_ <br />type: _ Singie Family _ Duplex _Townhouse _ Multi•Famity � Commercial <br />�rojed: New ._Addition Remodel Reoair 7.1. Sion �Sorinklei <br />DESCRIPTION OF W RK (addifional s ace provided on fhe 6ack): <br />A� �SO� YYeo�.S <br />'�eaOC��-e. Cl�� Y�S <br />MECHANICAL PERMIT APPLICATION <br />olProject: _New_Addn _Alteration_tiepalr <br />Show Num6er (tt) of lirfures <br />AIC — air handlinn unilc <br />Numbcr of Heads <br />k <br />of Use <br />PLUMBING PERMfTAPPLICATION <br />o1Pro�ecl: _New_Atldn _Alleratlon_Repair <br />Show Num6er /pl o! �rtuics <br />Mediwl Gas <br />Olher: <br />I �ereEy certdy Nol l �avo mad antl examined Nt+nppliwlion nnd know Ne 5amc lo bo Wo ontl corted. M provUiore ol lavn antl oNmanres povembg Uu lypo alvroA v.i7 Eo mmpLed <br />vr.N wtielher spedfieG hemi� or nol. T�o pranlin0 0l a permil Eoo� nol D�sumo lo BNo authorny lo NoLile or conul No praNsbn ol ony oNer slalo or local Lrw regu�tinp conslrunion <br />Thal l. m nulhorl[e0 by Ne owncrolthla property lo Dcrto�m thu work for which nDO�alion b maEc nntl i compM �+'��� Nc Slalc Contranae Lmv 1B.17 RCW nntl 798.YOOA WAC. <br />� ` <br />��—J�./�/'�/— y �L <br />Own IAuthotlzed Agent 5 naWro Dale / (Rovised 6/2017J <br />