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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, �NA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� q I� <br />lornewconstruction: Short 1aVsubtlivision <br />Lot <br />p <br />(attach copy ol long Iegai descnplion) <br />- �n�-1170 <br />� <br />i <br />_Owner _OwnefsAgent ✓ CONractor _Contractor'sA9en1 Tenant�m�sirow.seik�o�mo..mno�,�n.o«+s�maownmmew��� <br />81 <br />ii� <br />��/eretf 1-ivusing Au`?��or��Fy <br />PERMIT APPLICATION <br />7.�( h —vi.5 - `i i�o u <br />�r i c /�'� a y n a r ci <br />PRICE OF WORK <br />Existing Use ot Building � � � <br />Proposed Use of Building S� � A �� ���'' ✓'�— <br />Building type: _�ingle Family _ Duplex _Townhouse �Multi-Family _ Commercial <br />HEAT <br />F.3 <br />Type of projecC New Addition Remotlel Repart i.i. aign apnnRiei _ue�u�wivu _ a��y= <br />DESCRIPTIONOFWORK(addi�ionaispaceprovidedontheback): PPr:I'rejec.{•st�'Olj�-CI PerneJ2 <br />Cusfiom�>r ex�s�-�r,` .��e3.'<��iJe `tcs i;urnac�. I�:,t�ll ne,� r��;s -��rnrir� <br />�L'u5tciner S�.pl'I;�d)�nclu5i✓�c�4`fk: -Jvllew�nJ ndo.pia-Hons: re-k�rnn�n,plenu�a� <br />itj �i iyl� <br />�QS ����ue . � � i .,� _vf, <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of ProJocl: _New _Addn _Alteratlon _Rapalr Typo of PmJect: _New _AUdn _Alterotlon_Repalr <br />Show Numher (a) ol llxiures Show Num6er (F1 of !lrtwes <br />AlC—airhantllinaunits � T011@l _ <br />r� <br />� Number of Heads I 1 I �mer: ___ i <br />I �ercEy certAy U:et I �em wnU onC owmmeC Nia opP�Kalion on0 knmv No snmu to Oa Imo end cortacl. All pmrisions ol lawf onE oNnnnces povemMp the pPe ol wo�k vnl be comp6ed <br />vrcli wlielher spedlME herein or nol.l�o gran6nB ol n permil tlxa not presume lo B^'o aull�otlry lo Nolalo or cnnttl Ino pm�ision ol nny oNer slete or local hw requlalb0 consVucGon <br />7 hal I om auNalzeC �y Ihe ownM ol lhb pmpe�ty Io petlorm tho vroA lo� wOkh eppkotbn la matic entl I wmpy �� Ih Ihc Slate Contracton lnw 1827 RCW anC 29B200A WAC. <br />✓ <br />i:��� -�,:,1 5 �'�:� <br />Owner/Autlmd tl Agent Srnalure Date <br />(Revised N2012) <br />