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Q <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALiPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Sl., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wyvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� S` �= <br />A(lI]RESS� .: 1CS1 �IhnJJ' �J:. Q:i .`>•' �1���`I PNf�'cRTV TAX p P.FRM7, p� _ f�17�Li <br />'{. <br />fornewconstmclion: ShortPlaUsubdivis�on_ <br />i EiauFJrI.�L�-4 C.a(Loot�./sY��.,. <br />(o f-Aw^51'�`�nb ov-�71ofs <br />(allach copy of long leg'� destnp�ion) <br />,n <br />Owner _a+nersAgenl �Con�ratlor ConUaclorsAgent _TenaN�m�sio�o.meaiene�a�co�smii�ommeow�e,�oao.�w���mesoacei <br />�S�S3 yo�� RvE 5. � <br />„���� o„�.�• � s � u�. � 58b ob9 - oy COE Bus. Lic. # <br />,,,w Re n fs cH�.�s <br />Phone�Email � b3`1'�/ 3300/ <br />CONTACT FOR PERMIT G li2-i S�—��h <br />L.ITL i�G(L'J��11C-lr .CJ�bIL�--S <br />NG PERMIT APPLICATION <br />ao�.��v a3a� c���e <br />PRICE OF WORK /�i J`� <br />T <br />UseofBuilding �Y��"l-t\�L��^+r�i� - � <br />dUseofBuildin �:<T�����1(� — <br />9_ `L� di�'-`- - <br />lype: _ Sinc�le Family _ Duplez _Townhouse _ Multi-Fam�/ily � Commercial <br />__.__.. .�..... n,�n,u..� Ro�,nrinl Renair T.I. 1C Sign__Sprinklei <br />'NS�RAp` p��`�pR Sadoti��ais1��e�vi°'fdxel'rGen�kx'144 w PA��.�T IL?cCK- WI 4 3eitr._�2J¢�; nT^ <br />Ln(�(iL���i OV- ��poo1�S (�Cr�. �-L/fl. INSiAt� 7-4f�S D( �`1���-�.TM/'%"Oe /Y`�"> V��i <br />L/�t,5 h� R Crrpn�,�ypF 1,•,-. �bs r�R �f✓..��. <br />MECHANICAL PERMIT APPLIGATION PLUMBING PERMIT APPLICATION <br />fype of ProJec�: _New_Addn _Altaratlon _Repair Typa of Projecl: _New_Addn _Alteration _Repair <br />Show Number (pJ o/ fixturos Show Number (Jt) oI fixfuras <br />SU <br />Olher: <br />Ges <br />� lJ'� <br />I homcry ceniN Ihal I I�avn �ea�1 m�A exa inea tli�s nppbcalnn and know Ihe same ia be true and conect. All provsrons ol laws antl ord�nances goveming tt.a lype ol work wAI M complcC <br />wrth wbo r spea� � em or no graning ol a pertnn dces not piesume io grvo aulhorAy lo vblate or cancel the provnron of any ol�er state or bcrl Uw mgu�'�nn� corc.�vdwn <br />ina am a Ihor d b ihe o hrs eny Io pedorm Ihe work lor wheh nppbcatron u maEe entl I compy x+lh Ihe State Contractors Law 10 27 ftCW a�A 1962'e�A � IPC. <br />� .���3 ��� <br />wnadAulhodmd Agent SIBnaWre Dale (Revised C✓2072) <br />