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� <br />�J <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGNISPRINi(LERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Evereti, WA 98201 425-257-8810 . FAX 425-257-8857 www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />4DDRESS: PROPE TYT/1%p PERr�I�r O— O� <br />,.. �„ ,1.,,�.l..�i.� T1n ..,,.c�i-iion�,n,nau.�., GI-CI <br />tor new cenStruCUon� Short <br />No �� (attach cooY ol long legal description) <br />4PPLICANT: O�vner �OwnersAgent �Conlraclor Conlractar'sAgent ienanitm.=sio��„a��ior���mcoos�m�,�„c�o>.,��e�roaaron��musca<m <br />— , _ <br />CONTRACTOR 8 I Lic # G COE 9us LiC. # <br />Adtlres � � � PnonelEmail — <br />TENANT BU INESS NAME CONTA1 �FOR ��RDQ{�/ //e� �,�,��((C. <br />� t l.—:O o�H—.I� IQ <br />PhonelE�mail � <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Ezisling Use of 8uddmg <br />Proposed Use of Duilding 7 h 1� <br />Budding type: � Single Famity _ Duplex _Townhouse _ <br />Type of D�ojecl� New XAdtlition ,� Remodel _ Repar <br />DESCRIPTION OF WORK (atld�Conai space proweeeon tne bace/ <br />15 `X�2 � /rJflSFelZ beci�m <br />MECHANICAL PERMIT APPLICATION <br />Typo ol Project: _New_Addn _Allcratlon _Ropalr <br />Show NunrDcr (kJ ol lixtures <br />A/C — an hdndling units <br />st <br />SPRINKLER I SU <br />ce <br />Number of Heads <br />S <br />Multi�Famtly _ Commercial <br />TJ. Sian So�inkle <br />w Ba�h - <br />of <br />PLUMBING PERMIT APPLICATION <br />olProject: _New_Addn _Aiteration_Repalr <br />ShowNumbei(M1 ollixtures <br />Smk <br />Medical Gas <br />Other: <br />Other <br />I DeieDy ce�d �at 1 �ave reaC anG emminetl Ihis appllcmian and Anow Ihe same lo Ee ime anE comd All provisions ol taws anC ommances 9ovemir,g t��s type al wod vnN Ee wmpl�ed <br />�snn xnetn s ec�feC �erein or nat The granung ol a perm� Oocs nm presumo to give aul�onty to v�ol.�e or wnul t�e piovrs:on ol any ot�er siale cr �ow� Iaw regulal�ng wnstrucbon <br />T�al I am uth nzed Oy ��e o.mer el iMs Oropeny to Derform Na work fer whic� appi�ovmn rs maCe aml I camO�Y w��� ��a Stale Camroctors law 1B P RCW antl 2?6 2DOn WAC. <br />I�7 <br />Cl,,,� ,�v / y 2 <br />OwnedAuthorized A9eN 'gnalure Date (Revised 6R072/ <br />