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PERMIT APPLICATION <br />BUILDING/MEC�?��PLUMBING/SIGNISPRINKLER/D�M�LITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 v✓��nv.werettwa.'o`rg <br />APPLICATIONS ARE ACCEPTED FROM17 8 AM TO 4 PM I`'7 `! <br />PROPERNTAXN ERIdIT6 <br />4DDRESS(�3� Lo ��sT y� ' C"DD� DO' 00 —oOC <br />(or nevi consimclion: Short PlaVsub7ivision Lot No._ (atlach copy ot Ion3legal descnplicn) <br />ti/1017.-- !/"edr:i// Ji/T!/nO/T✓ PnoneiE-mail �/.,'.s�363. //2f <br />0 <br />O��vner O���nersA9enl Coctrador Con�ra:tor'sASent Tenant(-�uav���+�e.ies�otm�.uo�o-omnev..-.e�umw�nmt�e�,.:q <br />J��� <br />3UILDING PERMIT APPLICATION <br />Use of Building <br />& I Lic. # COE Bus. Lic.: <br />P�onelEmail <br />ONTACT FOR PERMIT �� N �j/{fF <br />ionelE-mail 77���U • ��/ v <br />ONTRACT PRICE OF WORK � � <br />HEAT SOURCE: <br />Proposed Use of Building - — <br />Duilding ryPe: �Single Famity _ Duplec _Townhouse _ Mulli-Family _ Commercial <br />Type of project: _. New _ Addition �Remodel _ Repair _ T.i. _ Son _Sprinkler _Demalition_ <br />DESCRIPTION OF WORK (zddi�icnzl space pro:ided on the bzck): / ���/ n <br />,C���Ai.e�,2��i'v.D�l F�i.�"T/�/� r�E"i!/G� <br />MECHANICAL PERMIT APPLICATION <br />olProject: _New_Addn _Alteration_Repair <br />showNumber!#1 ol/ialures <br />PRESSIO <br />of Use <br />PLUMBING PERMIT APPLICATION <br />o1ProJect: _New_Addn _Alleration_Repair <br />Medical <br />O�her. <br />Other: <br />I �ere�y ceNly I�al l have ma0 antl ezamineE Inis applko;ion antl Fnow the same lo �e Uue and mrtecl. lJl pmvisions of laws antl o:�iwnces gm�emin8 Nis type cf w:rkW.Abe compfeC <br />vrnh wfiMher spe6f^E herein or nol. The pranlinp of a permil Coes not premme to qive am�ony lo rHolale or cancel R�e pmWsion ef any other slate or lowl �arv rt0uatin0 constv:lion <br />7�a1 I a:n a �o�+ed �y Ihe owner of INs pmpeM �o Ocdofm I�ework lor wAich applicalan is ma7e an� 1 comFN �''h Ne Slate Cantracmrs Larv 1827 RCIV entl 256 2DOA WAC. <br />� � Date (Revised 6/2012) <br />Ov/ncdAullion .ed gent Signature <br />