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( <br />PERMIT APPLICATIO�N <br />BUILDINIG/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT i'ERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8357 www.everCe'ttwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM a`—) 3���' <br />p <br />tornewwnsWctlon: Short <br />(apach copy of long legal desuiption) <br />•� � <br />_Owner _Owner'sAgen� _Caniractor _Con�raclofsAgenl _Tenan;(musipr�ricaeienxafwruemrranmeawrrorioaowonhmesp.w) <br /># <br />� <br />COE Bus. Lic. # / U " <br />z�_`�,'3/ - 7��1 <br />,l/.J� yzS- 3!2 - S'S3 <br />BUILDING�ERMIT APP�ICATION � coNTRACT PRlce oF woRK <br />Exisling Use of Building HEAT SOURCE: <br />P�oposed Use of Building Gas Elecinc_ Other_ <br />Buiiding type: _ Single Family ,_ Duplex Townhouse _ Multi-Family _ Commercial <br />i�pe of project New Addition Remadel Repair T I Sign Sprinkler Demolition,_Change of Use <br />DESC RIPTION OF WORK /addifional space prov ded on the back) : �.�� <br />�o �ri�. �r � �vt,b; ►t,�. �x � �''�1�%c�� <br />MECHANICAL PERMIT APP��cw� <br />ofProJect: _New_Addn _Altoration_Repalr <br />ofProJect: _New_Addn _Alterallon_Repeir <br />Other: <br />Gas <br />Number of Heads """'. <br />I herehy certify thal l have read and ezamined Ihis application end know the seme to be Irve and wrteU. All pmvisbns ol law� and aMinences 9aveming this rype o/xrorkwlA be compfed <br />wim x�hel�er specAled hereln or not. Tha grentin8 of e perm0 tlom nol presuma lo gNe aul�oMy �o violeta w cancel Ne provislon af eny mher state or bwl law rcguletNg wnstrupbn <br />7 1am au0orizetl by Ihe owner ot thl�q roperry lo pertomi Ihe xrork /or which eppllcalion la metle and I compy wdh Na Stale Contmctwa Lew 18.77 RCW end P98.200A WAC. <br />'Y` \ A _ nV . <br />,,G 1�j, Zdl� <br />__�— m....:....a enn�m <br />