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� <br />0 <br />6�ERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBIN�/SIGNISPRINKLER/DEMOLITION <br />CIT'f OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vnvw.everellwa.org <br />l/—/3—I i/ <br />'ZZ Gocvs <br />ZoviOvvv <br />br new Cons(mc�ion: Short PlaUsu�division � lol No._ (allach copy of long le9al CCscriplion) <br />t �//�O�Ti ��/f/i✓/ Ai/r����.� % Y Phone/E�mail '7�/ �/ 5 /I: % G � / <br />(��X ��/ / ICily/State/Zip �I�CiL:C //, !/'�/"� %01 �i� <br />f <br />�O��ner _Owner'sAgert _Conirac�or _Contraclor'sAgent _Tenant(mesiprov�eamrrio'cansecitcmmeo�«nu�oEo.wix:n <br />BUILDING PERMIT APPLICATION <br />Use of Building <br /># City Bus. <br />Phone/Email <br />f FOR PERMIT Q ., / ���F� <br />/V <br />ail /G �JC?� (� j 9� �O/�� <br />�T PR�CF OF WORK /�d• � <br />HEAT SOURCE: <br />d Use of Building � <br />type: _ Single Family _ Duplex _Tawnhouse ✓ Multi-Family _ Commercial <br />Tyoe of projecl: New Addi�ion Remodel V Repair T.I. _ Si9n Sprinkler Demoli�ion Change of U5e <br />DES�RIPTIONOFWORKIadditionalspace0�ovitlotlonlheeack/: ' <br />Ch:'9�✓GE" �T ////T�� /��fITF�S <br />MECHANICAL PERMIT APPL9CATION PLUMBING PERMIT APPI_ICATION <br />iype of ProJect: _New _Addn _Mtemlion _Repair Type of Pro�eck _New _Addn _Alleration _Repair <br />Show Number (pf ol lixfurc5 Show Nurnbcr �p) al IixNres <br />NC—airhandlinounits I Toilcl <br />Other <br />of Heads <br />SYSTEM <br />Olhe[ <br />Olher: <br />I here�y cetlAy Ihnl I have ma� nnE cramNM Nu app4wlan onC knw� Ne:ame Io Ce We onC cartecf. M pmvislans ol N�.v: an0 oN�nanu:s Oovemin9 t�i; rype ol wark �r I �e coinp�, <br />w;h W.�e:�cr sDeciLeC hemin or nol. T1'.e S��npng ol � permil doe, nol p�e5ume to g�ve Bulhony lo vin4ile or cancel l�e p'ov ,ion ol dny o1�er:IBte or local la.v re9ulalln9 conslvcbon <br />Thal I a Ri � etl �yUe avmer ol ihl; O�opeiry lo pedortn Ne work brwnen appl:wtion rs maCe antl I ccmpywii011m Sla'e Comrartnrs La�,v 18 27 RCW anE 29G 1404 W�C. <br />i� //% <br />Ownr.rl , n icd hgenl Si9nalurc Ua�c (ftevised o/z0i4) <br />