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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBIiVG/SIGNlSPRINKLERIDEMC�LITION <br />CITY OF EVERETi PERMIT SERVICES <br />3200 Cedar St., Everelt, WA 98201 425-257-8810 FAX 425-257-8857 www.everethva.org <br />APPLICATIONS ARE �CCEPTEO FROM 8 AM TO 4 PM I`aj `I ' <br />ADDRESS: � � PROPER7YTA%N P��'Tr3OI — �% <br />larnewconsimcticn'. Shcrt <br />� <br />+r,•J <br />Lp� �Jo._ (atlach eepy of long leyal Oesa�p�����1 <br />C� <br />_O:mer _Owner'si•c��nt�_/Coniractor Contractor'sAgent _Tename��.:i;-o.�aaakr.���=i�o-s:�neo=va�M�:'>-���_'�^,;'9sc�e� <br />ILDING PERMIT APPLICATION <br />Use of Building <br />g lh/F2i{ rjq(z COE Rus. Lic. # <br />Phone.'Email y2J-s/�.y3QR <br />T FOR PERMII � � � / _���� <br />Gi� ��K�° <br />,a�i y2.T—.Y'/(a'Y3�� <br />,CT PRICE OF WORK / /��. G6 _ <br />d Use of/gy ilding <br />lype: �/ Single Family _ Duplez _Townhouse _ Mul�i-Family _. Commercial <br />pwjecC _ New _ Addition _ Remodel _ ftepair _ T.L _ Sign Sprinkle <br />;IPTION OF WORK (addrtional spece providetl on Ihe back�: <br />%LrGOGRTIo�I OF �rlAS /�°"l�i�"TC'%z- <br />MECHANICAL PERMIT APPLICATION <br />o1ProJeeL _,New_Adtln _ Altcration,_Rcpair <br />Shnw Numbcr (kJ ol liMwes <br />i A/C —:.ir handlina unils <br />PLUI't161N� PERMIT APPLICpTION <br />ofProjrcL _New__Addn _Alteratlon_Repair <br />Show Num6er (pl a� IiaTmes <br />Water <br />Sink (� <br />Roof drains <br />Medical Gas <br />Olher. <br />�_ � Number ol Heads' ' <br />Ili^eLY���Hyihelltia�em�dun�u.ainsdl��:G.-� �t��� IMnewRwsane'o�el:uaand[ortecl.Allp'ocsansoluwae�.0o�dnanceiBovemingNi�lypuolvek� leeccn{Sed <br />.��,'n vi,etlicr speafied �erein et nel. l �e granl np ol a Pertn t tlees ncl p�esume to 9ne ; Wnodly lu v:d;tiv or carccl l0o pronbion ol eny olher s:ale or loeal law repulatn9 c' ..'u-' � � <br />rv�:n I um auN ' Oy Ihe ovrneralihia ypeM �o Pedorm �he wo�k �or v:�ich epp'�wbon ie mnda aatl � compy wn� Na Slob ConVodo�s lew 18.27 ftCW entl 4962W�� .:i�C <br />/� / / // � ZJ �� <br />[ p�t•_ (ReviseJ �r20t?) <br />`DvmcrlAu mizetl 9en15' natute <br />