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PERMIT APPLICATION <br />BUILDINGIMECHANICAVPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PE9MI'f SERVICES <br />3200 Cedar St., Everett, W A 98201 - 425•257-681 �— �'�?X A25-257-8857 — www.everettwa.org <br />APPLICATIONS AFE ACCEPTEU FHi:�M 8 AM TO 4 PM <br />FROPERTY TA% M MIT, <br />A�DFiESS: . 1 G S L <br />lor new constmction: Shotl PlaUsubdivisior Lot Vo._ (ettach copy ol long legel descriptqn) <br />& I Lic. # <br />� �, ���� �;�,�_ -rr , <br />BUILDING PERMIT APPL <br />aRice or- <br />'-S Y> � ISS O W 8 AcL . <br />328-s�9t ��.^^ <br />Exisling Use ol Building �"1 l J1Y V v�i_—T -";�-'- - -- <br />Gas_ Electnc_ Other= <br />Proposed Use ol Building��F� — � � <br />Building lypo: _ Single Family _ Duplez _Townhouse � Multi-Family ;'.� Commercial <br />Typs et project: _ New _ Addition _ Remodei ��. Repair _ T.I. _ Sign _Sprmkler Demolilion__Change ol Use <br />Doscripti! s; ot `Nork (odditionel space pm✓Idotl on fhn Ceck) : <br />�y-�r�c�i�'.F�.�,�� -.{:- �LGv�>i��L Vf-� �cJciS;}riG-- :i{Af r <br />you started working wlthout a permit7 _YES 1,�', _NO <br />MECHANICAL PFRMIT APPLlCATION <br />o1Prol��� .—N�—Addn _Alterntlon__Repelr <br />Show Number !b) ol 17xfures <br />haod <br />,t fan <br />healer <br />SP <br />PLUMBING PERMIT APPLICATION <br />Pm�ecL _New _ _Addn _Allaretlon _Repalr <br />Show Number /1) ol flrmms ___ <br />Sink & <br />washe� <br />Medical Gas <br />Other: <br />INumberolHeads �I <br />i hereby cerf�ly thal I hevo reatl and examinetl t�is opplication and knov. Ihe semo to De �rue and conecl. All provisions ol luws end ordinances govem�np <br />:rns typo ol worh wiil be eomp:ietl with whethar spailied herein or rwl The yrenting ol e permit does not prosuma to g��e eulhonry lo violete or cancei <br />Rw pmvision ol eny olhor stnte or local Inw regulaling consiruction or Iha perlormanco al constmction. That I em aNhonied by ihe mmer ol this pmperty <br />to poAorm {no work br wfiich epplicalion is mntla e�w I compry with Iho Stete Contrectors Lew 7827 fiCW end 29620� WAC <br />- ! <br />��1-�' I/IG-Y t � <br />�.1// �-_ <br />o,� rRa��s�e z�zo i i i <br />OwnerUJlh t1zMAgeniSignoturc <br />i <br />/` <br />