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� <br />�ERMIT ApPLIC�4TION <br />� <br />SUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMO�LITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everelt, WA 98201 425-257-8810 FAX 425-257-8857 vnvw.everetlwa.org,,/ <br />!� `-/,3`��Y <br />8�s Locus� sT <br />Zov/Ovv v <br />�or new con;lruclion: Shon PIaU,uOdivis�on Lol No._ (atlach copy of iong legal dcscripiion) <br />Phone/E�mail <br />Z. <br />G�Q� �✓ %// ICitY/5lale2�p�!/CKC // ��� %a1VV <br />�Owner _Owner'sAgenl _Coniree�or _Conlwclor'sAgeni _Ter.ynt(n�sio�a��eabsrcicorse�ir.cm��ec..neiloeowen,n�+e <br />����vr�r��w <br />BUILDING PERII�IIT APPLICATION <br />Use o( Building <br />LiG. # <br />Phone/Emall <br />'ACT FOR PERMIT aN � <br />[-mail / G .�7r7L2P �j j ?�� <br />�RACT PRICE OF WORK _� <br />HEAT <br />Proposetl Use o( 6uilding � � � Gas <br />Builtling type: _ Single Pamily _Duplex_Townhouse ✓ tviulti-Family _Commercial <br />Typeolprojecl: New Addilion Remodel �Repair T.I. Sign Sprinkler C <br />DESCRIPTION OF W OR K�add�tronai space proyided on �he back) : <br />C�/ar���� AT ���T�-� y��i��s <br />MECHANICAL PERMIT AP <br />of ProjecC _New _Addn _Alleratlon _Repair <br />Olhcr <br />�; <br />Bus. Lic. # <br />� <br />of Use <br />PLUMBING PERMIT APPLICATION <br />of Prqect: _New _Addn _qllcralion _Repair <br />Shaw NumGer(p) ollixNres <br />I Toilel <br />BaRilub <br />Lava�o wash basin <br />Shower <br />Kilehen ;ink 8 dis os.l <br />Dishwashe.r <br />CIOIhFs watihot <br />Waler heatr.r <br />Smk servicelbadmopletc.) <br />�ackAow revenler <br />Urinal <br />Drinking FouMain <br />Floor Arain <br />Grease Ira <br />Ruaf drains <br />Idedical Gas <br />I Ocreby cr.pRy t�al l have n:n� on� r.mrmi�M Uu^, aD7������ion anG Fnv,vNe �me lo �c N�e an0 mm�U. M pmvi„ons W t�vr nnG ortfinanrrs povemivp Oii: typc olwod �r I ov compi <br />wN� w}miher specifie� berem o� n01. ilie qrd.��ng ol a f`��1 Jor.s nol CreSvme in 9ne amhonry lo viclate or cancel ihr. nron;�on of any olhm siain or locai law re9via�in9 conr.:rucoon <br />Tlial I ai . 1� .etl �y llie o�+mer ollh:: p'oprtrty lo petlortn I�r woA lor wtieli appncaSon r. maCe an� I comply �Ih I�e Shle Conlrarlor,l.aw 1tl 2� AGW antl 796 Y000. WAC <br />� /i // <br />Owned� I(o iedAgenlSi9natum Wtc (Revisn�l9/201J) <br />