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! • <br />PERMIT APPLICA'TION <br />BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Sl, Everelt, WA 98201 425-257-6810 FAX 425-257-8857 w�w� everetlwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM — C� —/ <br />4DDRESS: ��nOl ��h(a�'�d ►?d PnoEa-�Ti'�000n3��� P���N�A — fl� <br />4' <br />ler neN te�slmcl�on Snert PIaU;uDtlrvision Lot No _(atlach copy o� long legat descnplion) <br />_ O'.+ne: _ Onner's Agent <br />� I I lD 220� <br />CCnlnClor _COnIfaClOr'SAgen1 _TCnan'im,,:trv���ceamncro�mm.mnammca+..+erueow�n���M;�a:c� <br />BUILDING PERMIT APPLICATION <br />� I ;' M�--T <br />s i ��c a LU�f� (tdl�`��I tScoE e�5 uc tt <br />q�'3 f'horelEmail r'�—ZS� �� I�� I� <br />ONTACT FOR PERMIT /��m I I IC ��fjl �ir J�i}'� <br />ionelE�mail I�@'�I ��'F' ,� co n�t-Fort . <br />DNTRACT PRIC[ OF K'ORK _ ��_. "rJ ��• V Ci <br />Ezisling Use o� Dwltling � <br />Proposed Use ol8uilding <br />Building type. �Smgle Fam�ly _ Duptex _Townhou5e _ hlulti�FamBy _ Commercial <br />Type ol Dro�ecl New AtldrtiOn Remodel Repatr _ T I Sign _Sprinkle� <br />DESCRIPTION OF WORK (add ��onai space pmv�ded on me back) <br />Otner <br />of Use <br />�PI�C�e Z�C���h�nq �FeC�ri� �,crnace �/ n�w �aS f"�i1,� nQc� <br />� i ns�-a ►� gas t�n �lesS wa+�,+� hea-�r. ��aS �r p�ng 1�o t�,rna o <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />ol Projecl: _New_Addn V ql <br />Show Numbei (#� ollrh <br />A/C — air han <br />� � Forced air sy� <br />Gas piping <br />� Waler healet <br />\� j <br />u <br />Unit h <br />Boiler <br />_Repair <br />untls <br />TypeoiProject _New_Addn _Aitcralion_Repair <br />Show Numberla� ol /ixiwes <br />smk <br />hCalcr <br />Founlam <br />Roof tlrains <br />Medical Gas <br />Olher <br />Other. <br />i nere�y certry t�al I �ave rea0 and e�amineJ I�is app4e�Lon and Anow Ilie same lo �e We aoC <arterl. AA Own5i0n5 0� IJwS an0 ae0mances goveminy tnis rype ol wod wAi Oe cnmpbe� <br />M!11n11C111CI5pPtl�2EtlplQRIClO01 TIICQId0U�4O�H�1CIifp�GOPS1101pIC5UfIR10�'iVldO1110111y10WOIdIPOlGI�CPIihpOfDv6�dpO�d�YOIIIPlSITiPO�ICG.IIIdWfpAUldtiO�(qI15INC1�0� <br />Tpal I am nut�o�ed by i�c oxner ol ln�s proocrty to pedorm Inc woA loi wTeti aDO��W��on is made and i a;mf�Y w''� ��e Siale ConL•aCaq Lmv �P :1 RC1V a�0 796 200 � WAC <br />�.� ��f �P,cr� �ld ll�� <br />OwnedAuthorizetl Agenl 5igna W re Dale �Recisetl 62017) <br />� <br />