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PERMIT APPLICATION <br />BUILDING/MECMANICAL/PLUMBING/SIGN/SPRINKLER/DEtJIOLtTION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., [vereti, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />AD <br />for new consiruction: Short <br />S� <br />LICANT: _ Owner Ownei s A9en1 <br />TRACTOR %�%2 ��/!L <br />.55 PoBoh �iai / <br />n <br />BUILDING PERMIT APPLICATION <br />c�33n v <br />No._ (atlach copy ol long legal descriplion) <br />PhonelE-mail <br />_Con1�dC10r5AgCnl _TBnaN�nustpmr:oeater.erafcenseni!mmNewoenoeowca�nc^.ospa:e) <br />G j� `�J� Phane/Email G/Z� ,�6%%fS/ <br />CONTACT F/O�R PERMIT/ yLS 3�7 �Ss � <br />Eo+Y /�-o�Nb:l., ' - - - <br />PRICE OF WORK <br />ceS-C <br />Existing Use ot Building �%L'fY v.� ���� ��r4eN �1ACyCoI HEAT SOURCE: <br />Praposed Use of Building��^'t"�+✓N � �ti �°e��Le' _ � Gas_ [Ieclric� Olher____ <br />Building lype: .`�Single Family _ Ouplez _Tow house _ Mulli-FamBy _ Commercial <br />Type of project: , New Addition � Remodel h� Repair T.I. _ Sign _Sprinkler,Demolilion Change of Use <br />DESCRIPTION OF WORK (additiona� spamprqvided on lho back): � <br />G a ra5� (� �� !� �e ��e�v9- ../� x�o b{ 7.0. c��� : <br />PERMIT APPLICATION <br />of Project: _New _Addn _Alleretlon _Repair <br />Show Numberlttl ollixfures _ <br />Exhausl <br />Olher <br />Number of Heads <br />PLUMBiNG PERMIT APPLICATION <br />olProject: _New`Addn �{Allera <br />ShowNumber(k) o/fixtures <br />� � Toitet <br />Balhtub <br />Medical Gas <br />Other. <br />I �crcbY u���Y �hal I huve iead anJ czamined Ihis appliralion anA know the same to bc Iruc nnd corrcct. All pmvisions al laws and ortlinances govuning i�is lype ol woik w.A Le rnrt,pliM <br />wM wneNct spenfcu nerun or nol. Tne giaming ol a ertne does nm C�esuma to 9Ne auNoniy to viola�e or cancel lhe provislan of am� oser stalo or loral law regulning crnstruclbn <br />7Tal I am aulhori:ed by I� owner of Ihis pwpetly In p. ortn i�e woik tor w�ich apph:ation is made anA I compty wl� I�o Slate ConVactms Law IB 27 RCW and 296 2004 WAC. <br />_ Rl/� l�'� '�z <br />