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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SI., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />fornewconstrudion: Short <br />ooss.z�cd�o�io3 I l;(�O I- <br />Lol No._ (attach Copy ollcng legal tle5cription) <br />e-mai� �/3� • 32E• 636'� <br />,�Pa�o �.�il iG,E_ 9e'�vs� <br />_Owner _OwneYsAgenl ,�Canlraclor _ConUactor'sAgent _Tenant��unPm�aeok:uro�conumimmmev,.ne.icaowa:,m•soewl <br />SC <br />IL & I Lic. # <br />u��. 9P��' <br />Bus. <br />�� <br />BUILDING PERMIT APPLICATION CONTRACT PRICE oF WORK eo�• � <br />=xisting Use of Build�ng ��� HEAT SOURCE: <br />Propos^d Use of Buildinq S..+e3 V, � � cas_ Electric X Other_ <br />Building type: � Single Family _ Duplex _Townhouse _ Mul;i-Family _ Commzrcial <br />iype of project: New .+� Addition _ Remodel Repair T I Sign Sprinkler Demolition Change of Use <br />DESCRIPTIUN OF WORK Wdai�rona� space provideU on me ba:k): � <br />�e Ce�u.�.� .bn.�+ .�,» � �su-� d'.c� �onc� • Ee�Lc_a �{i,R.,c�� �C.�..u,.�c� '�l�4[- �.t-�..�G,, <br />.i,.-�:11 .l.n�.k .� ex�i� _E,i^�t'1�� Ib' r�w.,- 7-.`.�- U+�'lt h.,.-d .�op ncuo "�-`-• / <br />A-.�-a b•N-►,. ,b�.t..`. �n• �Ctu <+LGL 4:,+�..:.. �,y-c..t� .(rr(.Gb. <br />ICAL PERMIT APPLICATION <br />ofProJecL• _New,�Addn _Alleratlon_Repalr <br />Show Num6er (N) oflizfures <br />I A/C _ nir handlinn units <br />hood <br />PLUMBING PERMITAPPLICATI <br />o1ProJect: _New_Atldn _Alleretlon_Repalr <br />Shaw Num6er (NJ o/ /Lciures <br />Metlical <br />Othec <br />� NumberofHeads 11 I umer. i <br />I hereGy ceM1Ry lhal I nam reod ontl exammed I�if epplkntion ane knaw t�o sn^e la Ee iruo anJ mrtect. All provisicns ol la�w nnd oNinancea qovemin0 ��s rypa olworrt ra9 �e compYed <br />eia� �Melher spedfMd hemin or not. TM1e Branting ol n permit dow nol presumo lo Bh'e aulhonry lo vio4ite orwn<el ltio pmNsion olany oNer stale orlocal bw reBulalnp conslruc�ion <br />ihal l am nWhodeeC Oy 1ho cwnerol lhle property ta Pedotm t�o worklo�rihkh upplkulion b motle onG I complywah Iho Slate ConUacton Law 1027 RCW anE 290100A WA^ <br />�� �� - �.�,�. i3 <br />OwnerlAulh zed Agent Sl�jnalum Date (Revisetl 6/20f7) � i <br />�� <br />