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( <br />PERMIT APPLICATlON <br />. <br />BUILDINGIFJIECHANICALIPLl6MBINGISIGN/SPR�NKLER/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 />APPLICATIOPIS ARE ACCEPTED FROM 8 AM TO 4 PM /Q '-ei./'l / <br />EGALfornewconslruc�ion: ShoAPlat/subdivision_ <br />�WNER m � � � tiN �} e�Ae F <br />ddress � 32Q �. P�/�C T� "� <br />�ONTRACTOR��M%� Cl-S(JLI�I��G <br />ddress % 5�0 t3,� o Ab W H�' <br />ENANT BUSINESS NAME <br />W�'.s'i`c-� n� s�STL n� S <br />3UILDING PERMIT APPLICATION <br />:xisting Use o( Building O�"� 1 G� <br />PROPERTY TAX M <br />I,�A��f �fo <br />Lat No._ <br />UG�jT�/J onelE-mail p` <br />^ -� � CitylStale2ip <br />g� C�LL•,rH & I Lic. # C <br />fl N 11 /b V Er`�'� Pn <br />(altach copy of long Iegai descnption) <br />06 �'�-76� <br />ri� ❑ , lA/ 't7 t � <br />J ''7I / � n <br />y.:5—�08-80� <br />_ /l`7 2 <br />DRPEKMIT JOf�IN�C��L'����C��"� <br />yzs-�o �- 8 a � � NL <br />PRICE OF WOF.K �%Sa O r <br />HEAT <br />Proposed Use of Building ���/ ��� �_ Gas Electric/� Other <br />Building type: _ Single Family _ Duplex Townhouse _ M�u/lli-Family�Commercial <br />Type of project: ,_ New _ Addition _ Remodel _ Repair.p_, T.I. ,_ Sign _Sprinkler _Demolition_Change of Use <br />DescriptionofWork(additionelspr_aprovidedonthebackJ: R�; /n Q�/L p 2o p G� 1�/�Y �-� PARTtT�sn' <br />�v fFL �, j�-- f� �' d lu C u.l � A�'Tl Tl v ri W R c.G. S�+� f7 � o�' C C-) c/^! is—� <br />_ ,-- <br />Hace you started workfng without a permfl7 �,YES _NO <br />ME�wHANICAL PERMIT APPLICATION <br />ofProJect: _,Now_Addn _AltoraUon_.:opair <br />Show Number (p) o/ /ixtures <br />a/C -air handlina units <br />Number <br />aemv ��rc �r�-� _�cw wac�s ca <br />PLUMBI�IG PERMIT APPLICATION <br />ITypoofProJoct: _NON�_Addn _Allnratlon_Repair— <br />Show � um6er (#) ol /Izfures <br />Medical Gas <br />Other: <br />Other. <br />I hereby certify �hat I have read and ezamined Ihis applicallon and know Ihe same lo be lrue and corred. All pi ovisions of Iaws and ordinances goveming <br />this type ol work will be complied with whelher specifed herein or not. The granting of a permil d�es not presuma lo give aulharity lo violale or cancel <br />the provision of any olher state or locul law regulaling construction or Ihe pedormance of constr�clion. That I am authonzed by ihe owner of lhis property <br />Certo Ihe work for which a pl alion is made and I comply with ihe Sta�e Contraclors La�v' B27 RCW and 296 200 WAC <br />wnodAuth dZotl Agunt Signa ��o � /� 2 �e (Revised 2/2011) ( <br />/a <br />