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� � <br />PERMIT APPLICATION �o_�-,Z <br />BUILDINGIMECHANICALIPLUMBING/SIGNISPRI�IKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />��,.,.�L_...,.,a �n-.,,. /+ 17 P,'�_ �17,� � <br />)DRESS: 2 S-� g ��q� *v PROPERTYTA%p r O 2 00 PERMITM <br />� E oo ��i�s fr 9 (�130(0-/71� <br />lor new construtlion� ShoA PlaVsu�aiwsion Lol No. (attach copy of long legal descnptmn) <br />(j Q �r S q rC es Phone/E maii 2 0` - 9'yQ • J oU / <br />Z��5� �0�.� 9GG , �� CitylStale/Zip L(/C���f � Gl/�. I O Zb� <br />ANT: vOwner _OwnefsAgent _Conlraclor _ConlractoYSAgenl _Tenanllmusiv�o�aoaieneroironsmuwmmownrrioeo.+on�nina�o��a1 <br />� <br />BUILDING PERMIT APPLICATION �coNrR <br />Existing Use of Owlding S%�✓(v L F_ �y... %� ti <br />Proposed Use of Building <br />Building lype: _ Single Family _ Duplex _Townhouse _ Mul�i•Family <br />Type of pro�ect. New Addilion Hemodel Repair _ TJ. <br />DESCRIPTION OF WORK (adddionar snace p�o��ded on me back�: <br />y� k. � u,� Er f%kr� 6 ov �� <br />MECHANICAL PERMIT APPUCATION <br />ofProjecC _New_Addn._Altcradon_Repalr . <br />Show Numbrr (M) o/ fi+fures <br />A/C — air handling units <br />Farced air svstems <br />hea�er <br />j <br />3 <br />Fehaust <br />Other <br />Number <br /># <br />PRICE OF WORK <br />Olher <br />Commercial <br />o( Use <br />l�i✓'F:A.6 �C/M: .f"' <br />i <br />PLUMBING PERMIT APPLICATION <br />Type ol Pwjrcl: _New _Addn _Altcratlon �epTir _ �_' _ . <br />Show Number (N) oI lixfures <br />� <br />Medical <br />Olher <br />Olher. <br />I Oemby r.erLty Iha1 I I�ave reaa and e.ammr.� �his a�-' Aion antl 4now Inn, samo lo lre Irue �nA carrecl pll prov�smns ot laws an0 ortl�nances govnning Ihis type ol woiF win he comp!ictl <br />witb w�ctl�e� sDeul�c0 �crem ol not Tpc gianlinq ol n pctmit Eocs nol presume lo qivc aul�outy to vio�a�c or wnccl l�o pio��sion ol any olhci 51ate m lowl law regalalinq wn;truqmn <br />T�nl I am aul�onteE Oy Itle owner ol t�is propvrty lo prtlnrtn IOe woik lo� w�ic� apPhwbon is ma�e and I comply wd� I�o Slnie Conlratlors Law iB 27 NCW and 796 700A WAC <br />6 � ✓�- �.�6-i� <br />OwnedAuthorizod Agonl 519nalute U�te <br />(Rovised 3/7073) <br />