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�PERMIT APPLICATI� <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvw+.everetriva.org <br />6_�-�� <br />_ .___�..., oanocarvTaxp PERMI7�, , � _ , <br />7 z�{ _ �C�c��� <br />000v <br />lor new construchon� St+ort PiaVsuDtlrvivon Lot No._. (attanc �oPy of iong �egal Oesc�pGon) <br />E�/�/1cTl f/dr/N6 <br />.��f� 9? Z <br />!/� �'�Zo/- <br />:�Owner _OwnersAgent _Contractor _Contrac:of,Agent Tenanttmmiwo.iaa�iom��mmnsomm:mmno-.00��oeawmm�o <br />� <br />�,���'�/�� <br />LDING PERMIT APPLICATION <br />q <br />zs�� <br />PRICE OF WORK _� <br />Ex�sting Use of Building ��/� � <br />O <br />Proposed Use of Building /`� <br />Building rype: _ Single Family _ Duplez _Townhouse _ Mulli-Family _ Commercial <br />Tvoe of oroiecC New Addition � Remodel Repair T.L Siqn SDrinkle <br />OF WORK(aed�honalspaceprovidedontneoack): <br />,�� lA Ge �uX r�A.LeJ <br />MECHANICAL PERMIT APPLICATION � <br />ol Pw�ecl: _Nnw _Adtln %� Altaratlon _Repalr <br />Heat pump <br />Llnit healer <br />OIh2f <br />SPRINKLER <br />X <br />Y i�E-C T��F <br />i� - <br />G PERMIT APPLICATION <br />ot Profocl: _New _Adtln _Altarallon _Repalr <br />�lothes washer <br />✓Ja�er healer <br />Sink (servicelba <br />Backflow preve <br />Unnai <br />Drinking Founle <br />Floar drein <br />Grease trep <br />Roof dreins <br />Medical Gas <br />pther. <br />� Number ot Heads I 1 I """'. <br />1 nere0y CBNty I�at I �avo matl and eaam:noe NL appli�albn anE know Ilia samo 10 po Vuo anE cartect A:I pmN;ions ol laws and oN'aances 9ovem�ng Nis typo olwoh will be wmpl . <br />wu� w�elher spetiFe� �amin or not. Tl�o 5���ing ol a pMmil Ooes �ot p�osuma lo qMe aWhoMy lo violalo or r2ncN tl+a p�nmvon ol any ot�nr ;latu or lo�'vl l�w mAulalinq ean.lmc�lon <br />rnai i sm a�mo� ea y Ihe wner cl N�s p�oPeM �o Dartorm IOa work forwNN apP�����Cn 1. m�Ca ena I compty w11� ICo 5����a GoNmc�or, law 18 27 FCW antl 498.7C�A VJ. C. <br />�-- � � s <br />OwnadAuthorized Agenl5lgnaturo � Date (Revised 42015) <br />