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� <br />PERMIT <br />� <br />APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRfNKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.or <br />9�a� �I�f <br />for new construc�ion: Shoit <br />D 12 �'1 ,►�c�F� jxa �(c� <br />NT� Owner _ Owner's ngent _ Coniractor <br />NG PERMIT APPLICATION <br />Use of Bwlding <br />rnx u <br />i:ixy�a�i <br />No _(atlach copy ol long Icgal description) <br />PhonME-mall J JC ( <br />City/SIatMZip ( 1 �Q�` <br />i �( <br />_CO�V.CIOi5AgC0I _Te0Bnl�mutip�ordaaimieralmmemoommaownermcowaMinlnospacc� <br /># <br />PRICE OF WORK <br />ised Use ol Ouilding�� � <br />ng lype: _ Sin91e Famlly: 1 Duolex _Townhouse _ Mutti-Family _ Commercial <br />of projecf. New �ddition Rer,odel Repair __ T.I. _ Si9n _Sprinkle <br />�RIPTION OF WORK (add�lionul space p�ov�ded on fne back) � <br />Zn-sla ��1 Gfa s p� P; n5 <br />MECHANICAL PERMIT APPLICATION <br />o1Pro�ect: _Now�Addn _Alleration_Repair <br />Show Num6cr (q) ol lixtuics <br />NC — air handliny unils <br />\� I Forced av svslems <br />Walcr hraler <br />Other__ <br />I SUPPRESSION S <br />SOURCE: <br /># <br />of Use <br />PLUMBING PERMIT APPLICATION <br />oi Projecl: _New _Addn _Alleration _Repair <br />ShowNunrber(A1 ollixfures <br />Shower <br />Other <br />Other: <br />rain <br />I hercby cenAy Ihal I �ave rea! anG ewmine7 this apphcauon and know ihe ,amr to be Ime ind correct All pmvisiore ol laws ond crE�wnce; 9ovem:n9IDu iype of wo�k wi I be compLed <br />vn•l� wt�elhet speuim� �ere��n oi nol. T�e granting of a permil tloes nol presume lo gWe aulhorily �o wo�ate or wncel l�e pmv�smn ol any oNer stale m lotal law regulalmg con,truc�ion <br />11�a1 I am aul�ou,eG oy 1�^ owne� ol lnis piopehy lo peAorm �he worh lor which applicalmn is maEe ancl I comply w�lli I�e Slale Conbatlors L�w 1B 17 RC W anC 296 700A WAC <br />OwnedAWhori d Age 151gi a�ur � �ale (Rov�sed3?OIJI <br />