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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/51GN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '; �� Q—i � <br />fornewwnslruclion: Short <br />TAX H <br />p <br />No._ (altach copy ol long legal descriptian) <br />4NT:_Owner OvmefsAgeM �C Conliactor ContractorsA�ent Ten2N�mupD���'eetenerolmnsanihommaoMw�toCov.ohnihospem) <br />acroR �. `+ 1�,�. �' L 8 I Lic. # GjT y�I� 9�SKJ�COE Bus. Lic. #(}SZZ�J/ <br />�.p�,-k,�. <br />//�i3Z y%� /¢�'G ��/E /11iv%' Sd,I�L %b'2%� PhonelEmail L�-S/S�/-OS�B uf / ,�,'� .o. <br />' BUSINESSr� AME CONTACT FOR PERMIT �G P�w y�,�(L <br />.gveu, 5e� CoJIe.�I� �Ga-C�c.l-S37�6 .. , . , . <br />BUILDING PERMIT APPLICATION <br />Uso ol Building <br />OF WORK <br />HEAT SOURCE: <br />PropOsed U�e of Building � Gas_ Eleclric__ O�her_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Mulli-Famiiy _ Commercial <br />Type of project• New Addition Remodcl Repair T.I. Sign Sorinkler Demolilion Change ol Use <br />DESCRIPTIONOFWORK(addifionalspacopiovidodonlhoback):��� ry�� <�� � ey�S���..� <br />o�-- <br />SPae.c�. ,Q�Qef �e� f-Y-voH� s� ha.��r %�u,IS� ��.� ,)�,E� i%z �de��'Pi�c� . l7" 9/h-�� <br />wc�ti /�t�— fa /9'rl,� /�TG! laoq�c/lai.. �„�4d. rGU'r� ra-w�,�. <br />MECHANICAL PEFtMIT APPLICATION <br />olPro�ect: _New_Addn _Alteratlon_Repalr <br />Show Numbor (p) o/fixturos <br />nic _ ��. �.�„dr�,. ������ <br />hood <br />Heads <br />PLllMBING PERMIT APPLICATION <br />01 ProJecL• _New <br />Urinal <br />Roof drains <br />Medical Gas <br />Othcr: <br />Other: <br />_Repalr <br />I hewby eeNty Ihal I h. ve read and eraminM Ihc apDliwtian and knox U�o same l0 6e We ond eartect. AO pmvuions ol Livn and oNi�ances govemmg U(s tyoo olwoik w10 bo eomp6ed <br />wilh whcUcr sOcdfMd hercin or noL Tho granMp ala permd docs nol pro,umo to givo aulhanry lo vbL�to orcanwl tho provcbn alany olhar slato or bwl law rogulating wnsWction <br />Thal I am eulhorieed hy Nc owncr ollhis pmpcny lo pedorm Ihe work forwhich aDDliwlion c madc and I comptywN� Nc Staio Conlracto , Ww 16.27 RCW and 236.200A VlAC. <br />��--� 2-Z�-/� <br />Ownc ulhorzedAguntSignaturu Da�e (Revisedfi2012J <br />