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� • <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMB�NG/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everelt, WA 98201 425-257-8810 FAX 425-25� C:i57 www.everettwa.org <br />3 --ID—�U <br />ADDRESS: .C���„„r, ��� �r��_ � ��. � .? PROPERTYTAXp PERMI+un� �I�r <br />for new conslruclion: Short <br />_ Ownei s Agenl _ Coniractai _ Conlraclor's �gent <br />E1 S�r de. Ch�h��hua, <br />3UILDING PERMIT APPLICATION <br />ig Use ol Bwldrng _�t(A�l11 J(A.\tA 1 <br />sed Use of f3uilding �,Q��l il �/ `(�l.�i�� <br />ng type�. _ Single Family _ Duplex _Townhouse <br />ol pro�ect: New Addition �Remodel __ R <br />�RIPTION OF WORK fademonal space provived on �he 1 <br />MECHANICAL PERMIT APPLICATION <br />olProject: _New_Addn _Alleralion_Hepair <br />Show Num6cr (N) o/ /iafures <br />A!C - air handlinq unils <br />Lic # <br />Multi-Family <br />_(attach coDY ol long legal descnption) <br />l yz��3� -�s�l <br />F v� v�0,-�- �1 ci, ��CLo� <br />`T20,1n1 (musl pmviao a lener o! cansen� Imm Ina owner lo ae werk in R�e spacn) <br />3 ciry e�5 uo,u <br />PhoneiEmail <br />�R PERu:�T /��� c�zJ`— � � <br />�.� <br />�iiCl� � C <br />PRICE OF WC'�RK MP �� IF� <br />HEATSOURCE: <br />Gas � Eleclnc_ Olher__ <br />� — — <br />Commercial <br />Snnnkler Demolition /Chanae 01 USE <br />t�nctnh Ic�-e���^a"�'�P-t' <br />���'��g� Pavmi-t <br />PLUMBING PERMIT APPLICATION <br />Typo ol Project: _New _Adtln �Alleration _Repalr <br />Show Numbcr lk) ol lixfures <br />sink <br />heater <br />Floor drain <br />Medical Gas <br />OIhC� <br />Olher. <br />I hme�y ce��ly Ihal I h��e reael an7 e.ammetl ihis apVb.cn6on xnd know Ihe s, nm!o Ae Ime nnA ce�mU PO pmvisluns ol Inw, nrtl oetlinances 9ovr.rmng I��s rype ol woiF wJl Ge comp5ed <br />wil� wlielher SpenGetl hemm oi nnt ihrt 9rantin9 0l a pe�md tlocs nol presame lo qwe nullmnty lo violale w canr.cl Ihe pronsion ol , ny oil�ei st. ie or bcal iaw regulatir.� conslmceon <br />— 7hu1 I am auiho�izca Oy R�c owner ol this pmpedy lo pertorm I�c wo�k Im wn�c0 nppnrai�on c. madc ana I comply with inc Stmc ConryaUors law 1B 21 RCW ana 795 iooA WnC / <br />�/ �I � <br />� ��i _ /.—� � — � d � / Y <br />Signature <br />(Rev�setl 3001 J) <br />