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' <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLtJMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />Tax a <br />7 <br />4• <br />lor new [onslmction: Shor1 PlaVsubdivision Lol <br />CitylSlate/7ip <br />�(attach copy ol long legal descriplion) <br />1�;— 7t/[%��4'L�S c�in� <br />� �e -h� ms <br />�.,��- <br />�Owner _Ownel'sAgent _Coniractor _Coniraclorsngenl _Tenanl(m�vp�o.idealcrero�wnsemfmm:�aownerloJowo�\In��ospace) <br />BUILDING PERMIT APPLICATION <br />Exis�mg Use of Bu;tding <br />Proposed Usc of Buildir <br />BUS. �IC.:i <br />PRICE OF WORK <br />SOURCE: <br />ng type: �, Sinqle Family _ Duplez _Townhouse _ Multi•Family _ Commercial <br />o(oroiect: %� New Addilion Remodei Reoair T.I. Slan Sorinklei <br />RIPTION OF WORK (adnir\ional spaco pro�•ided n Ihe 6uck�: <br />� ve w�o � s' F/`? <br />MECHANICAL PERMIT APPLICATION <br />ofP�oject: �New_Addn _Altcrelion_Repalr <br />Show Number Ipl o/ lirfures <br />� licat pump <br />Unit healer <br />Boiler <br />Re(ngeralion <br />WoOdslovc <br />Ducting <br />Other <br />LER / SUPPRESSION S <br />Number o( Hcads <br />i, � . : •. .. <br />af Use <br />PLUMBING PERMIT APPLICATION <br />oiProjecl: �Now�,Addn _Allcratfon_Repalr <br />Show Number (N) of fizfures <br />Shower <br />Kitchen <br />Clolhes washcr <br />Waten c�atcr <br />Sink (servicc/ba <br />f3ackllow prever <br />Urinal <br />Grease <br />Roo! dr; <br />Medical <br />Othec <br />Othec <br />I hr.�eby cetlAy Ihat I huve reod and eaam�ned IAis a00��wSon and 4now i�e same to oe Ime nnd conecl. All provisions nl laws ana orAmances goveming IAis type oi wod witl he comp[ed <br />vnih whether ,pcMetl �crcin or not. TAc 9ranen9 0l a pcnmt Eors nol presume to �rvo au0m�iry lo viol. le or wncel Ihe pmvision o( any o;her slate or lo�il law reguhi ng mnslNqion <br />iTM I am a�it ur by Ihc owncr of t propctly to pcRo�m Ihe woik In� x1�ic� appliwiion is matic ana I compy win� Nc Slntc ConVactars law 1827 RCW anA 796 700A WAC. <br />� ����'V � /`� /� �� <br />OwnadAuUmrized Anent Si�naturo � Uate rn���;o„n �nm vi <br />