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P�RM17 APPLICATION <br />BUILDINGIMECHANICAL/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.everettv:a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Co `- ��'—� Z <br />---..___ aaoaeanrwca P�$MITt . ,�, , <br />� <br />for new consUuction: Short <br />/���, IiU�C'i- <br />, <br />Po (� �n �-s'f <br />No._ (atlach cupy ol long legal desuiplion) <br />�a '�'LS 2S'1 �J �l 1 3 �') <br />„ ��Rfr rr r nJ A ��G 2 v(� <br />_Owner _OwnefsAgenl _Conlraclor _ContractorsAgent _Tenanttm�siv��aeeienxmca,semtromu�ownermca.onmmaspe�l <br />��Mpl'Il <br />3�n 5541 <br />BUILDING PERMIT APPLICATION <br />myiV�� ��a�lio.� <br />re�r wA �1�'20(, <br />Bus. Lic. # <br />q-tS L1�I 3$�� <br />�� �ti.�,�b�ii <br />S�i s�3s <br />PRICE OF WORK 1 O o �— <br />Existing Use of Building �.� � ���e _ HEAT SOURCE: <br />Proposed Use of Building SU'�'`L Gas_ Eiectnc_ <br />Building type: _ Single Family � Duplez _Townhouse _ Mulli-Family _ Commercial <br />Type oF proje�t New Addition Remodel TO Repair T I Sign Sprinkler Demolilion_Chang� <br />DESCRIPTION OF WORK (addifional space provided on fhe backr): <br />Iv�11„1' �� S�v1L� ILC/v�v��'-C-i KJ�7�-'�`P <br />� <br />MECHANICAL PERMIT APPLICATION <br />TypootProJect� _Now_Addn _Altarotlon_Ropalr <br />ShowNumbcr(p)p/Ifxfurcs _ <br />of Use <br />PLUMBING Pr9RMIT APPLICATfON <br />ofProJact: _Naw_Addn _Alteratlong,Repair <br />Medical <br />Other: <br />� � Number of Heads I I t i 111tl1. ��"rv �"`�O'"' <br />i nereby certAy lhal I have reatl antl axemined ihis epplitalion end know Ihe sama lo be true entl corted. All pmvisions ol lawa and oidinantes qovaming Ihis type ol work w�U ba mmplieE <br />wNh wtielher specRed herein ar not. TTa pranting ol a permM1 tlms not prr.suma fo qNe auNority to vbla;e or wncel t�a provisbn ol any ol�er slete w bcal law repulalin0 �sWtlion <br />Tiial I am eutnotlzed Ey t�e owner ol lhla propeny to pedom� lhe work lor wi�ich applicavon Is ma0e an7 I wmply wM� t�e Stale Conlraclon Lew 18.27 RCW antl 296.TOOA WAC. <br />�—��� Date (Revised N2072J <br />Owne lAuthorizod Age t'Slgnaturo <br />