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( <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAVPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.eve�rfetlwa.org 1� <br />A"LICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 7j "� D`� <br />•��nme. TROPERTYTAXN �M��_.. _ . � <br />for new conslruc�ion: Short <br />PhonelE-meil <br />(altach copy ol long legel desuiptlon) <br />_ i�.d . � <br />�Owner _OwnersAgenl _Canlractor _ConlractofsAgent _TenaM(m�nwo�+aeaianxo�con�emmmuaownsnoeowaxiom.so�a� <br />8 I Lic. # <br />� <br />9c�9 D 3 COE Bus. Lic. #�r��r <br />y25-�a3-3�y8 <br />P �� ✓� <br />-ii_aS� C�� <br />ILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />ng Use of Building S I N�LC i=�1M N � M E <br />�sed Use of B/uilding S i�' ��� E �� <br />mg type: � single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />of projecl� � New Addition Remodel Repair T.I. Sign Sprinkler_I <br />CRIPTIONOFWORK(addi�ione�spacepmvidedontheeeck�: };ChIOJE F�cL C)L <br />Cf�l11c.E Wiir( f�1�A� �v/nQ-e CLL-�. F��r�N�cE <br />MECHAN <br />of Pro�ecl: <br />Show <br />AL PERMIT APPLICA7 <br />_Addn _Alteratlon_Rapalr <br />imber (N) o/ flxtwes <br />A/C _ air handlina units <br />PLUMBING <br />�� <br />c <br />ol ProJeet: _New _Addn _AReratlon _RepNr <br />Other: <br />Gas <br />U)1. <br />� Number of Heads I I � vmer. i <br />I hereby certAy thal I have reaJ anE eKamined this applicatron enE know t�e same to be Irue enC cortecl. All provisiom ol lewa �nd oNinencas floveminy IDia rype dwoM1 mA be compGeE <br />wtl� whelher apec'de0 hemin or not. The granting ol a permA Goes nol presume to ylve aW�orily lo vblate w fanal t�e povisbn dany oMer �bte orloul law repulNinq construdbn <br />TTat I am euthMzetl by the owner a11�is prope�y lo perlorm t�e work lor whlU applicalion le mMe enC I compy wil� t�e Sttle ContrMon La.v 1E27 RCW mU 298.300A WAC. <br />��� �.��� � � ���� ��.�� I � � <br />Ow arlAuthorizedAgentSignatu Date <br />(Revised 62012) <br />