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� <br />� <br />PERMIT APPLICATIOIV <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-881Q FAX 425-257-8857 www.ev�rettv�Grg I� <br />TAX k <br />a <br />lar new construclion�. Short PIaVSubOrvrsion Loi No._ I�tlach copy ol long Iegal desai0��on) <br />D�� <br />Q <br />Oemer _Owner'sAgenl COOIfdG10f ConlraUor'sAgent _Tenanllm�uca�oaa:eneraimmemucmmaw:���iom«oM����uspac�l <br />G PERIVIIT APPLICATION <br />Slate Lic. # <br />fRACT PRICE OF WORK <br />Use o( Building .sF� � <br />i Use ol Ouilding� F� <br />lype� � Single Family _ Duplex ,_Townhouse _ Multi-Family _ Commercial <br />uo,., add�t�on X Remodel _ Repair _ T.I. _ Sign __Sprinklei <br />DESCRIPTIONOFWORK/ada:nonaispacep�oadedonmeoacal. p J� d �d�/L� :�'►�'��� <br />L'Yiln <br />./ <br />MECHANICAL PERMIT APPLICATION <br />ot ProjecL _NeN� _Addn i�Alteralion _Ropafr <br />Show Nurtibcr (M) of /ixfures <br />A/C — av handlinq units <br />Othe <br />Q1 <br /># <br />Other <br />of <br />PLUMBING PERMIT APPLICATION <br />ot ProJecL• _Now � Adtl�Altoration _Repair <br />Show Number(a) ol fixtures _ <br />loor <br />Medical <br />Other <br />Other: <br />I �ereCy re�Ay Nal I hnve read ond exom neU I�is app'+catian anC knr+� Ihe samo lo Ee true and corretl. All provisions ol laws antl arC�nances govem�ng t��s lype ol work wi I �e comp�,ed <br />wn� w�eT-r soecRea �erein o� not Tne g�ammq ol a peim�l0oes nol p�esume l0 9iva awhanty ro vrolale er wncel t�e provison ol any ol�er sta�e ar loWl la� regulating consiruclion I <br />T�al I am au��ouied 0;� I�e onner ol t�is pmperty �o periorm I�e woik /o� whic� appl:wt�on is mr0e anO I comply nA� me Slele ConVatlors Law 78 t7 RCW and S6 200A IVAC. 1 � <br />�� %` r�� �g �3 <br />C���� (Revisntl JQ013) <br />OwnerlAut'�orized Agent Signalure Date <br />