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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNfSPRfNKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everetl, WA 98201 - 425-257-8810 — FAX 425-257-8857 —`n'�^�ve�eretlwa.org <br />pPPLICAT10N5 ARE ACCEPTED FROM 8 AM TO 4 PM pER � 1�� ��� <br />PROPERNTA%N � <br />AD�RESS �� i q� ��. 4 5' i <br />// � 1� t � t r� t �( al ion � a� Desa pt on) <br />� Lot No._ (atlach copy 9 9 <br />4L lor r.ew conslruct�on�. Shon PlaVsuudrvis�on_ , <br />���� �� <br />n�.......IC.m]il / I I� 1 / J �� <br />iV .�� V L �'-i�r TT LL�L � <br />I � <br />, ,, �,;,,,���,.�,�E � r. . <br />nrrnR �/Irll '���{�� <br />�.�' :� <br />/ L�� <br />�i ' --I 1 � .'-% <br />^�il�j'.�61t1_/._',:' � <br />ress "�I� ���� ' � � ' � � CONTACT FOR PERMIT <br />NANT BUSINESS NAME � , ,i�_ , {7 t. �' j -� � . � (�� <br />' ' i : i, i I � � PhonelE-maJ � ..�i 1� �: �� j <br />. �! � � ' ����. . . '. '��i ,. . <br />CONI'RACT Pp��� CF WORK �' ��� 7 <br />UfLDING PERMIT APPL�CAT�ON HEnT SouRCE <br />isung Use of BuAding , — ��s E'�ecmc �% Olher <br />oposed Use of bwlding <br />iilding type: _ Single Family _ Duplex _Townhouse `Multi-Femily _ Commercial <br />�pe ot projece _ New _. �dddion _ Remodel ,_ Repair _ T.I. �Sign _Spnnkier _Demolition_Change' o� Use f <br />li��l(��i( i \ �.�� <br />;,�,,, ��,t ) <br />:Se�iplio0 0( Work (oddihona� spacn provided on Ihu back)', , � � � / ! � - � . <br />you started working wilhout a cermil7 _YES �_NU <br />MECHANICAL PERMIF APPLICATION <br />ol ProjocC _Noh' _Addn _Allerotion _Ropair <br />Gis <br />Other <br />PLUMBING PERMIT APPLICATION <br />at Prolacl: _Now _Addn _Altoration _Rupair <br />c�...... uumher /p) o!lllfWes <br />drain <br />Medical Gas <br />Other'. <br />�.��, �,,,:. .,. ..---- <br />i , Y � � �Y ���,�� � p,��i� ���d yi� ex�nuned th�s app'��cabon nna know the same 10 be truu. nd cortetL NII provisions ol tavrs nntl ordinoncus govem�ng <br />ll�:�t�yoviso Orlayoth2o5laleo�lolW�lBwIrCf9ul�lm'�jtOqSVUCIOno hePedorinnanCe0�co51NtlonoTh3llaeaulhoe!��by,l�!On��•ro11t��6,propChy <br />n, ;n�dorm Ihe work lor which apP��cabon is made and I compiy wdh Ihe Slale Conlraclors Law 1827 RCW and 296 2�0 W AC <br />�� �,_(. � (Rc�asetl 2'2011J <br />j ! �� r-, `-`- nalo <br />OwnedAulhonzod A9ont SignaNrc � .- ;� �1� � ' <br />i�s-�_. �,� i...._ I �- <br />