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PERMIT APPLICATION <br />BUILD ING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEN10LITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetbrva org <br />SITE ADDRESS <br />pROPLRTYTAX# <br />PER ITC <br />m <br />c <br />LEGAL for new construction: Short Plattsubdivision Lot No._ (attach copy of long legal description) <br />OWNER 4 Py . <br />honeyEma,l <br />Address <br />Cdy/Slate/Zip <br />APPLICANT:_ Owner _Owner's Agent Contractor Contractors Agent Tenant lmi„p.oree a min m�rec-umm homner loco won in,.'w <br />CONTRAC7DR <br />State Lic # 'zBus Lic u <br />Address 3 / �1� PhonerE,ra r <br />, a <br />TENANT BUSINESS NAr,1E C07ACT FO PERRN)IT <br />/ <br />Phdneil -Z!o - aY/ <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />txlsung Use of Building -Ye vr_ HEAT SOURCE <br />: <br />Proposed Use of Building_ rti�Kr A� Gas_ Electric_ Other <br />Building type. _Single Family_ upleownhouse —Multi-Family _Commercial <br />Type of project _ New _ Addition _ Remodel __ Repair T.I. Sign __Sprinkler _Demolilion_Change of rse <br />DESCRIPTIO OFWORK(additional sace provme the back) / —( <br />G'' V w-, dCC <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project: _New_Addn _Alteration —Repair I (Type of Project _New _Addn _Alteration _Repair <br />Show Number M of fixtures Show Number (#) of fixtures _fl <br />Ayr _ a,r henrWnn —uc <br />Other. <br />Number of <br />I hereby cemfy that I have road and eaamined this apP5l;atAn and knew me.am0 to be We and correcl All provisions of laws and ordinances governing this type of xork wid be comped <br />With whether specified herein or not. The granting Of a perml does not presume to give authority to viola!e or cancel the provision of any other state Or local law regulating conshruc ion <br />That I am a/�l WIW by t owner of this property to perform the work far which application Is made and I comply will me Stale contractors Law 1827 RC W and 29e 200A WAC. <br />�" � <br />(Revised W017) <br />