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PERMIT APPLICATION <br />BUILDING/l'viECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettv+a.org <br />�I _1�'l--1� <br />ADURES,ri: _ �� � IPROPE0.TYTAXN P RMI D. <br />{ t •1_!.__. :1.1U <br />�L far new conslruction� Shod PlaVsiiDarvision Lot No.__ (aRach copy of long legai description) <br />NT: _ Uvmer _ O�+meYs Agent <br />BUlLDING PERMIT APPLICATION <br />Existing Use of Building <br />_CoNraciof'SAgenf _Tenant�musipm�iaaaieenolccnsem'rcmc.oc..nerumn>.an•nos^,avr) <br />Proposed Use o wlding <br />Building type�. Single Family _ Duplez _Townhouse _ Multi-Family <br />tt Z� p� c�;y s�5 uc � <br />PhoneiEmail �Si 1�� •Q%23 �j'�(�fJ/f(,�Fj✓•� <br />T FOR PERMIT �'�yJf/ . �M <br />��O�r�is� so/•o/zs <br />CT PRICE OF WORK �I O� � <br />NEAT SOURCE� <br />rGa Electric Olher <br />Commercial <br />7yp? of pro�ecC New Addition Remodei Repair _ T.I. _ Sign _ <br />DESCRIPTION OF WORK �ad �nonaispace�roviCedonmeback): <br />����� ' ys, �.� � �y� <br />MECHANICAL PERMIT APPLICATION <br />of Project: _Now _Addn _AllcraUon _Repair <br />Show Number (a) ol lirtures <br />I AIC _ air hanrllinn unita <br />SYSTEM <br />Nvinber of Heads <br />of Use <br />PLUMBING PERMIT APPLICATION <br />ot Prajecl: _Now _Addn _Alleration _Ropair <br />ShowNumberlbl oflixfures <br />Mediwl Gas <br />Other: <br />Othec <br />I hereby cem(y ��m I havc read an� cram:ned Ihi: appb:aaon and knoH ihe snme lo �e we and corcecl. AJ provisions el laws and orCiwnces goveming Ihls type cl woik w:ll be mmplied <br />we� v.Tet�er speohed �erem or nol TA mmg o! a permit Coes net presume to give aWnorily Io v�olate or eancel t�e pwvis�on ct any mner state er local law reg�,na!iny censtrvn��on <br />Tna� I am aut�er a Ey Ne oxner af is property o pe ihe worxlor wTich applr.auon is ma�e an� I campty wT,h lhe Sia'e ConVar�r; Law 1 B 11 PC W ana 296.2Ce5 �\'AC <br />/ '� <br />0 nrdAuthorize Ag nl5ignaWrc ale (Revacd3.Q017) <br />