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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEiIAOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., F_verett, WA 98201 425-257-8810 FAX 425-257-8857 www.eve �ttwa.i r�`'� <br />Co <br />of <br />j[; lS� /�i <br />for naw construction: Short <br />a <br />�� /`��G1clP.!/ <br />�/S Mo <br />✓Owner _ 0� <br />� �'� <br />e <br />(attach copy of long legal description) <br />3�7 �Zo� ,(a.,�/�c <br />982�3 <br />hgent _Con�raclor _Conlractor'sAgent TCfIBM(muslpmrJealcttorolconsenlhan��eonnar�o0awotklnitwspaca) <br />PERMIT APPLICATION <br />L'se o( Buitding <br />Lic. # <br />PhonelEmail <br />"ACT FOR PERMIT <br />/E-mail ��dv.� � ��Crr <br />fRACT PRICE OF WORK <br />HEAT <br />d U:e c� 8uilding � <br />type: �Single Family _ Duplex _Totvnhouse _ Multi-Family _ Commercial <br />aroject: New _ Addition _ Remodel _ Repair _ T.I. Siqn _Sprinklei <br />;IPTION OF WORK (additional spacepmvided on fhe back): � <br />�_�,�E ✓J/uv�tb��.S �.•.(,tr �u(��c <br />�� <br />MECHANICAL PERMIT APPLICATION <br />o1ProJocl: _Now_Addn _,Alturation_Ropair <br />Show Number (N) ol Ilxtures <br />I att:—airhandlin4units <br />Bus. Lic. # <br />of <br />7-3Zv`' <br />PLUMBING PERMIT APPLICATION <br />oi ProJoct: _Now _Addn _Alteration _Ropalr <br />Show Number (N) o/ flxtures <br />Other: <br />I � Number of Heatls i i ' <br />I hereby cetlJy that I havn read and eMaminetl Ihis apphcation ontl know Ne same to 6e tme and rorrect. All provislens ol lnws and or0iwnres goveming 0is tyFe ol work will be wmpiied <br />nnh wnel�er specilietl herein or not T�e granting ol a permit tloes not presume to give eutnerity io violata or cencel t�e provision ol any oUer state or Iwal law reguletlng construdlon <br />lhat I am aut�onr:,t �y Na o r al ' opetly to peAortn the work lor whic� application L• maEe end I wmply �mh IDe Slala Conlredon law t8 27 RCW en0 2Y100A WAC. <br />i � <br />� � � 7-/� i.3 <br />Own uthoriz d Agont Signature <br />Dale (Revised 32013) <br />