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� <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOI_ITION <br />CITY OF EVERFTT PERMIT SERVICES <br />3200 Cedar St., Everetl, WA 98201 425-257•8810 FAX 425-257-8857 www.everetlwa.org � <br />`3- 13 �-I <br />...,...,���. _ PROPERiYTAXp P.�RMITp _ _ _ �� . <br />:..� : L..: <br />\ �i y31 \�J '(Yl � Ic I EPo �Jl �ei' I � t �� � � �' = <br />lor ne,v construcnon. Short PlaVsubd�vision Lot No _(atlac� copy ol long legal Cescnption) <br />PhonelEma�l <br />�, �j `6ZD <br />�nrer• _�OtimefsAgent _Conlra[lor _Caniractor'sAgent _Tenant�m�sioro.�aaaier.e.ci<o,srumrmso..���meo,.�nm <br /># <br />BUILDING PERMIT APPLICATION <br />Bus. <br />Pnone/Emait <br />�,b1aS2 yzS �55- 7353 <br />PRICE OF WORK <br />;ting Use of Bmltlmg ' Y� v�n �) C±`V 2� �� �� � HEAT SOURCE: <br />1 .i <br />posed Use of Bwltling� ��i. � 1 '�e- 5 Gas Electric X Olner_ _ <br />� <br />Iding type� _ Single Famdy �(, Duplex _Town ouse _ MuIlrFamily _ Commercial <br />�e of pro�ecf New ACddmn Remodel Re air T I. Sian S rinkler Demolition Chanqe of Use <br />SCRIPTIONOFWORK(add�t�ona�spacepro�-raedonmeback) ��I �- b�(.� "� a ��R'��• <br />upcfG�C �1� P�'Cis�,�� k;�e�1 <br />�� 0. JV�,cIIQV' l�4- <br />tau.,�,^� s��-�' �poKialo• �l°en �vx�.S�o;v� �Cc/2 �� 1'lefwe�r� �if>a <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />TypeolPro�ect: _New_Adtln _Alteralion_Repair <br />Shnw Num6rr /pl ol fixfa�e5 <br />Other <br />ol Projecl: _New_Addn _Alleralian _Repair <br />Show Number (p1 0l �xtwes <br />Gas <br />I� Num6er of Heads I I 1 I ��'�". 1' r ,"•'^ti"� •-" �•• ��e <br />I he�eEy ceniry Nat I P.lvo reaC anE e.amne0ltlis aDP'���'on anC know ina sdme to Oe W e anE conecl. All provis�ons ol laws anC ordinJnces goveming Inls type ol work w:l Ce fAmpl <br />w9n x�elner spenLeC here�n or nol l�o graN:ng ot a permd Coes nol D�esume lo qive aulnonty to vialBle or Unccl t�e O��ision ol any clller stalo or lowl law �Cgutaing Consimcl:on <br />Tliai I am awnonxeC �y �ne awner ol Nis pmpeM �o petlorm i�e waM lore��ch apphcaiion Is maCu aaC i campry �nN I�e Sta�e Comacbrs Law 7B 27 RCN1 an0 296200A WAC. �/ <br />/`/�/ .�s`laC. � Q � o�J —�.� . Z <br />OwnMAuth rized.lgent5ignature Date (Revised9R0f4) <br />