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PERIVIIT APPLICATION <br />BUIL��NG/MECHANICALIPLUMBING/SiGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVlCFS <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED �ROM B AM 70 4 PM � <br />ADDReSS:� � � �% ` l' �/ <br />PROPER'fY TA%# T <br />N-r ;"� Y L � t�..,'L', � <br />/ornewconsimction: Short <br />Owner Ownefs Agent _ <br />� <br />Lot No._ (altach copy ol long 1e9a1 Cescription) <br />Ageni _T2ndnt(n��vv��•iEeolener�tcroscr,Rmmmemmermcowoain��espa:e� <br />& I Lic. # <br />�. COE Bus. <br />- N 7% -/ <br />�1 Ilr� <br />'�/ �. ' �.� ��J�S,:'��'� r�"i� Phone/E.mail � t%-(—v � /' <br />BUILDINGPERMI7APPLICATION coN7ancTaRlcEOFWORK_ <br />Existing Usr. of Buildiny _ F <br />Proposed Uae of Building Gas_ <br />8uilding type: _ Single Family _ Dupiez _Townhouse _ Multi-Family _ Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demc <br />DESCRIPTION OF WORK �additional space Frovitlen on tne backl : <br />MECHANICAL PERMIT APPLICATfON <br />ofProJecL _New_Addn _Alteratlon_Repair <br />Shmv Numbcr (p) ol (ixlures <br />i a;c—airhandlinaunits <br />Exhaust <br />Heat pm <br />Unit hea <br />of <br />� c'� <br />SOURCE: <br />Use <br />PLUMBING PERMITAPPLICATION <br />of Projeet: _New_Adtln _AncrE <br />Shmv Num6cr (#I ollleYures <br />Medical <br />Other: <br />Olhzc <br />washer <br />I hcieby certily Ihnl l have rend mG eramineJ 11iis applkalion antl Mnew Iha same lo Oa W e ana cceect Ail proeisions ol la+.'f and ordiwncm goveming IAis pye e( woik n91 bo mmplied <br />.: ni vAiether speafeC hen!in or not. T�o B��ntinp ol n pertnil Does not piesume lo pivo au'�mi�ty �o vrmm. er cancei i�e pmdvo,� n� any et�er slate or iowl 4iw regWa�ing constmtl�on <br />I Iial i am aulliotlzetl �y tho wmer oi lhls pmperry lo pertorm Ine woM lorw�¢� aCF��olion Is �nie.ird I ccn',y'y �•;^h Ine Sla:e Conlnc!crs Law 19 P�C:! �nd :3fi :OC1l'lAC. <br />Y /. ' f <br />, <br />_ ��� <br />�.�. � � <br />L'�' (R9vised G/2012) <br />Owncrl�l or retl nt Signature�t �P <br />4 <br />