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PERMIT APPLICATION <br />BUILDING/MECHANICAL/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 everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROPERTYTA%N PERMITII � <br />dnf1RFSS• _ _ _ _ _ _ .� _.. _ .� / i A /_ — /1 <br />brnewconsimc6or,' Shon <br />�« ; <br />!rc <br />Lot No i7 lattach coOY o� �ony legai desu�P�i���q <br />,�F�,�� yz.s 4"tt ��Is <br />5��«z�� �Svecerr wq q4zo3 <br />1 Lic. # <br />Fnonc.�Emaii <br />VTACT FOR PERMIT ,� �-( _� I <br />�.. � �.,., A2. _ � - ��r - lr (c <br />BItILDING PEkM1T APPLICATION CONTRACT PRICE OF WORK <br />c•�;t��-.g Utic al Bwltling <br />�, s�` __ HEAT SOURCE: <br />�i�:�pcs��A�lseol0uilding _ Gas Electnc O1ner <br />b�.�ldr�n'yl;�` ,�SingleFamdy _Ouplez_Townhouse . Mulii-Famtly _Commercial <br />7,�,� ,i �,;,nirr,P. _ New _ Addiiion __ Remodel _ Repair _ TJ. _ Sign _Spnnkler _Uemoli�ion_Change o� Use <br />p• �. :r,�. �;:ma� � ot W ork (Adtlrtra��al space promtled on Ihc back) <br />�ddre�o,� e� unh�e�-red ;w+�`rwm r� ewsr��h S�2 <br />H. •�e ynu started working without a permill _VES 74 NO <br />M MF:f.HANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />ulfho�ect: _New_Adtln _Alteration_Repair <br />NG — air <br />Farcetl a <br />��J <br />Heat puntp <br />Unii heai2r <br />nu,<< <br />__ _— <br />SHflINKLER I SUPPRESSION SYSTEM <br />u� ,,i� <br />ol Project: _New _Adtln _Al�era�lon _Repair <br />Fountain <br />Wedical Gas <br />Other. <br />r: � et. , r'� �v that ! nnve raatl onU esammetl th�s ap, Imabon antl know Ihe same to te �rue and �oimct. Ali provisions of inws antl ortlinancas goverr�n� <br />•�Pi IyC �:•���k vnil be mmFl�etl with whelher specfietl herc-n or not. Thr grantm9 01 a pe�m�t docs nof presume lo orve euthomy In •noiale m cancel <br />Ih� �rt :�N� � oi dny olher 51a�U or IOCC� law fegulating consimr,bon or Ihe poriormance o� censlruclio-t i h,i� I 2m .3Jlho�ized �y lho ow��er �.il th�5 0�'�f.eity <br />�o �d� � - o work f h application is inade and I compiy rHth tnc Statc Contractois Law t 8 2' RGVJ antl 29G [GO WAC <br />I �1�1`t����l <br />� lRCm�'p[12 20 � 11 <br />O�� ie� � �^� � se �ASentSignature Date <br />� I� ` �; I� <br />� �. - <br />