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� <br />PERMIT APPLICA�ION <br />BUILDINGIMECHANICnl..1°l..UMBINGlSIGN/SPRINKLERlDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedai SL, [verett, WA 98201 425-257-8810 FAX 425-257-8857 vNrr+.e(eretin a.o� <br />fornewconshuction� Shert <br />r <br />Ownar Ownefs Agent <br />rnx n <br />No._ (allach eopy ol long le9a� descnptien) <br />�' <br />Conirac�or _Co��haclof5l�9C�� _TCOd�1�ru;ICT�+Coa'C�crotccosonllnn'AoonnuloCa+nLn'ro:pu�) <br />, <br />�✓��s� ���,.,s, �__ ����; <br />UILDING PERMIT AFFL�ATION <br />�...\ �State Lic. X <br />T PRICE OF <br />�(�(y City �us. LiC. <br />-�'-�I'� <br />��a_ � � <br />,. <br />� <br />HEAT S <br />Ea�s�ing Use of OuJding � ocv �^�� �;�� � �/ <br />GasJ� EI^dnc Oiher <br />Propcsed Use af 9uileina�/1 �ti / n��1� L1 <br />6udd�ng lype. �Singlz Famdy _ Duptex _Townhouse _. ulli�Famdy _ Commeroal <br />Type of projec Ne:+ _. �ddition _ Remcdel _ ReFair �T I Sign _ Sp�inkler _DemoliUon_Change of Use <br />DESCRIPTIONOFWORK(aCartieral<paceprcrCedenrrebacwl� � <br />o�f•�ovE �,{r$Y'i�� �U�nlac� �, i'f�iac4, �/iJEc,J�,�u2nJa� � <br />� ���� s�r/'�, f <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />of ProJect: _New_Addn _Allamllon _Repair <br />Sha�v flum6crlal ollirfures _ <br />d <br />$ <br />Typo ol ProJecl: _New _,Addn _Allcration _Repair <br />Show NumDer (M1 0l fixtures <br />Othcr. <br />Gas <br />� Numbero(Heatls - <br />I nercty cer�ty Nat I have reaC and e.amined i�:s apD•����on anC Movi t�c same Io be In:e nnd correct. All p�ovizions ol Iavrs and oiGn�nces goveming �his lypa ol.w;k w:il Ce cemp�ied <br />win wheNcr speufed �crein cr not. Th: gianeny al a fertnA does r.cl D�esume to gAe auNanty lo vlolate or cancel lhe F�ov�von al any c:�rr siate cr loev 6nv rcgulatng canzWcnon <br />Thal I am auNv�i:ed Oy It1e exnet cl l�is plCpclly Io peRorm Ib!Nork for wTiU apC�'W1�on IS �r�atle and I<ampN �^�h Ihe $t21c ConVatlon Lav �d P RCW an0 2°fi 2MA ��%�C. <br />f / ,: <br />/ ��/ � / �%�d�� m_..:...�virn�o� <br />i �� � / h/ �'�___J � <br />s <br />