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PERMIT APPLICATION <br />BUILC�ING/tIAECHANICAL/PLUMBI NG/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Sl., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM a� ��-I 3 <br />ADDRESS: �. ;{� / . �,., // . � /� PROFERTYTAX N P �M� �/l� , /� � <br />lor new wnsimction' ShoA PIaVs� <br />r �.�1i1.'�.' /:/.'�. <br />No._ (atlach copy U long legal tlesuiption) <br />il li.i-�— ��'1%��Li (.��3 <br />(A, �, .�l� �-�v^�'� �CitYlSlatelZip <br />�NT:_Ownet _OwnefsAgent _Coniraclor Conlractor'sAgen� Tenantcm���mo�ae.k�rmco,:emrc�mea+�o�ioaowo�mu..o+cq <br />� <br />� <br />PERMIT APPLICATION <br />I LiC. # <br />. 2 C� '//SZ' <br />nail <br />1CT PRICE OF WORK <br />Exisling Use o( Build'�ng � <br />Proposed Use of [3uilding <br />Building type y Single Family _ Duplea _Townhouse _ MWti�Family _ Commercial <br />Z <br />COE <br />ot <br />DESCRIPTION OF WORK (atld�tisna� space proroiided on{he b�ck) : / /�� '� <br />�y, �, r,n. ..�/ � - l f�L7G � L / �tt .`L �� !�i/L � <br />/ ;`'i ^ �, " .,; L, . �% �'/�i' �s -/ <br />MECHANICAL PE RMIT APPLICATION PLUMBING PERMIT APPLICA710N <br />o1ProJect: _New_Adtln _Alleratlon_Repalr <br />c�� Shnw Numbei /p) O/ flXfIUCS <br />Gas <br />fan <br />ofProJect: _New_Addn _Alteration_Repalr <br />Sink <br />Medical <br />Other: <br />I� Number ot Heads I I I ����ec i <br />� <br />i b� rN;y ceMy Ihal I have reatl anE e.ainmcd tnis appiica�ion amt �now rt? �a:n: m be Wa enA car .. An provisions of lewa anE oraine��cee poveming t�n type of work vn9 be complied <br />r;�m vAclher spenM1ed herein or noL The pranlinB ol e pertml0oes no� presume �o Bh'e BUIhonN �o nolale or cencel lhe provisioo ol any o1M1er stale or locel mwreBulalin8 �onslm<'��on <br />� <br />I i+al l am eulhonreEy{UMownerolthla propMy lo perlorm Ihe w�rk �a whk� epp0.albn b maEe enE I compN ���� �he Slete CONratlon Law 18 ]7 ftCW enC 296.100A WAC. <br />t / - <br />"/ <br />� � � ..i > �-' <br />. �%� �, // . �— _- <br />� <br />`� OwnerlAuthotlzetl Agent 31gna��rc Dale (Revisetl 6R077) <br />