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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everetl, WA 98201 425-257-8810 FAX 425-257-8857 wNnv.everetriva org <br />I—�a�—IS <br />fo� nc�v cunslm:hon ShoA <br />Tax a <br />1 ho _(altach rooy cl long Icgal descnF��on) <br />„� 7�o��F2`��Z <br />7 <br />Ownei Ow�ner's��genl _CorPactcr __CcnUactor'sA5en1 Tenanl��*..��c,a�^.�3��::�.r•<o��+e�,iucm:+a=-��r�aco.���•�nrresoac.l <br />,k Stale Lic # Cdy Bus Lic. # <br />PhuneiEma�i <br />IINESS NAME CONTACT FOR PERMIT �1�1�,� (� <br />�1 -J � � <br />°�onc'E�ma�l � J L <br />3 PERMIT APPLICATION CONTRACT PRICE OF WORK ��f}D <br />E.�s;��ng Use of BudC�rg — � <br />Proposed Use ot �wlamg _ <br />BwiCmg typc � S�ng!e Fam�ly _ Duplex __Townhouse _ Multi�PamJy _ Commeraal <br />Type ot pre�ect New �dCdwn Remodel _ Repa�r T I__ Sinn __Sprmklei <br />DESCRIPTION OF WORK�accc�cnarscacec:o�.cc�or�;'�c;;acF/ <br />I�to�c�in4i�ll 3 c�ue�l4y ht���ur��S <br />MECHANICAL PERMIT APPLICATION <br />T ypc ol Pro�ccC __ New _Addn _Altc�alion _Repair <br />Sdow Numbcr /tlJ of lidures <br />NC - air hanahng ur,As <br />F o1CC(i 01r Sy51em5 <br />CiAS jliOIflg <br />Watcr heatcr <br />Gas 6replace <br />Gasianoe <br />Clolhes aryer <br />Range hood <br />E+:haustfan <br />Numbcr ol Heads <br />H[nT SOURCE <br />Chonge o(Usc <br />�LUMBING PERMIT APPLICATION <br />ol ProjecC _New __Addn _Allcration _Repa�r <br />Show NumDcr fM) o/ M1xtures <br />;ink <br />nq Fc <br />Olain <br />bled�cal Gas <br />Othcr. <br />i^areLycenCyVmilhavcieadanCe�amne�11Ai5appLca;ionanCl.nowi�esam^IOC^tvcandwrtrcl Fllp�ovisronscliawsan�c�ona�;e<qoveimngih�styFcolwe�tw+7Fecn^�.W.ra <br />w^',� whetpef sDecM1eE �erem oi nct TTe gtanlin� cf a pemLt Coes no! F�esume lo gne . �hcri•y lo �iGia:^ a<anvl IPo pmns�m ef :.sY mpr� alr�c r I�I1.?w �rp�lainq wnsWdinn <br />in,a I am aull�onzea Jy i�e ewner ol i�is DmMhy Io pertorm t1e wort lor whic� app;¢auo� e matle ar01 ce:n�'y w�',i t�c Sta'.e CoN.ran:.is 1 a.. 19 77 HC�Y ��� :95 7J^A N,<I: <br />nl Signatuw Da!e (ReviseC L70t91 <br />