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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/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 I a�- I�`� � <br />PROPENTYTAX71 PE MITt1 <br />ADDRESS: II> >—� 17 —(1 % la. <br />for new canslruclion: Short <br />WNER <br />(altach copy of long legal description) <br />_Owner _OwnefsAgent �Contractor _Cantraclor'sAgent _TenaN�m�:iv��baakn�roico�samo-ommaow��rioao.o.+mma:osul <br />7N <br />T/1/��r,(' To� 's <br />BUILDING PERMIT APPl.iCAT10N <br />Use of Building <br />Lic. <br />[✓A r.�c �O�''� CL <br />1c6-��6-Jn�Z <br />PRICE OF WORK .G' / 7�Ge � <br />Lic. # <br />Proposed Use of Buildir� � '""— — <br />Buildinglype: _S�ngleFamily _Duplex_Townhouse _Mulli-Family ZG.Commercial <br />Type o( proiec': New Addition Remodel Repair T I Sign Sprinhler Demolition_Change of Use <br />DESCRIPTICWOFWORK(additiona�spacepmvidedon�heback�: =„��T��� f+y,�1 CooCE� CONOGrSG� %o /E�ACc <br />ErTt'rt,./,• :Jf7icC �TDi:dC�C /�\ <br />l. � <br />MECHANICAL PERMIT APPLICATION <br />ofProJecL• _New_Addn _Alteratlon_Repair <br />Show Num6cr (N) o/llxfures <br />I A/C—airhandlinaunils <br />heater <br />PLUMBING PERMIT APPLICATION <br />ofProJect: _New_Addn _Altemtion_Repair <br />Other: <br />Gas <br />1 hereby cenM ��ol I hava reatl end examinetl thls �pplicafwn nnd kno.v No samo to Eo Iruo and wnect. All provisiona ol lavn an0 ordinences go�emine Nu rype ol wark vnA 6a wmpFed <br />wAh wfielher sDedfed herein or not. The 8�����8 0� a Dertnil tloca nol presumo ;o ONo aumority lo vialale or cencel Ihe pmvision ol any oNer sla�a er local hw reBuWli�g conslruclion <br />That I em aut�odzetl Gy IYe owner ollhis propeM �o pertorm Ihowork forwhkh epplkation le made antl I compy w4h Iha Slato Conlmctom Lew 7817 RCW ond 298.200A WAC. <br />/ %� �� � 2 ' �� '' �O � ^ <br />OwnerlAuthodzed Agent Signature Uate (Revised 6/2072) �I n� <br />� <br />