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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8657 ww�.everettwa.o/rg' <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��`' � y'—� � <br />w* <br />✓ <br />tor new constmclion Short <br />;SS l�� C�T}i-C:u � �p�ZK l�� <br />No _(atLaU copy of long legal tlescnpdon) <br />��� ULS " �SU- �R�S <br />Owner Ownei'sAgent xContraetor _Conlraebr'sAgent Tenantim�Nr ����k�no�mnsm��mmmeo».�e����+a'��^P°�a�'"� <br />� <br />BUILDING PERMIT APPLICATION <br />Existing Use of Buildmg <br />COE <br />23 <br />.� L `� Y� <br />mail y S ����� 4 Z 4_v <br />ACT PRICE OF WORK aCj �lc <br />Proposed Use of Bwlamg <br />Building type: � Single Family _ Duplez _Townhouse _ Multi-Family _ �ommercial <br />'ypeofpro�ecf New Addilion Remodel Repair T.I. Sign�5prinkle <br />DESCRIPTION OF WORK (addrt�onai:,pacc rnov�erd on the back) <br />MECHANICAL PERMIT APPLICATION <br />ol Pmject: _New _Addn _Altcralion _Repair <br />— air n <br />ed air <br />HEAT <br />PLUMBING PERMIT <br />ot ProjecC _New_Addn _Alteration _Repair <br />Show Numbcr (N) o/ lirtums <br />Othec <br />�� NumberoiNeads """'. <br />I h�seby cenAy Itrtl I liave m:�U muf eRamnetl Itns appYetlun entl know tiw Same lo be Ime and mrtecl A1 piovisrons o113ws antl oNinance:� govemmg Nis rype oi wod wil0e complied <br />wnh wnuiner speuin . �iere�^ oi nM1iho graNing ol a peima Coes not pmsume l0 9rve aulhoniy to vu4'��e or cmcel lhe p�ovisbn of any oNe� sla�e or bcai Ww reguWOng mnsbuclron <br />Ihal I:�m aul�om J Iry IM1e � wnrr �us pmpetly lo DeAorm IOe woik lor xhiG� appFwl�on is maAe.ina I coinplY w�h Ihe 5taio ConlracYors Law 18 27 RCIN ena P9G 20UA WAC <br />/ I <br />/ � <br />lo�c�lz <br />Owner uthorized Agenl i9nature <br />Date fRevised fi2017) <br />