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�ERMIT APPLICATIO� <br />BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLERIUEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />q - `8"� Y <br />L-�7OI W 'V`ll1L,`'t,Q.7 �`V� IPROPEPTYTAXq <br />a <br />for ne�v conslruction�. Short PlaVsubCivision Lol No._ (attach copy ol long legal tlescnption) <br />� 5���� ��:�M� <br />2�0� � MH1uL�� b <br />� <br />%:T:_(�ivlllCf ��WnCf�5A9Cf11 _COf11f�L10f _C001l�CIOf5A9ef1i _7B(1001(rl'vslp'cntlodlcl'Nc�co�senlGcmAem.'nerUGowohnC.espdce� <br />NTRACTOR i'�./� NQf(� <br />ILDING PERMIT APPLICATION <br />Exisling Use of Building <br /># <br />� rnaJ <br />PRICE OF WORK <br />Proposed Use o( Building � Cos._ <br />Bwlding type�. _ Single Family _ Duplex _Townhouse _ Mulli•Family _ Commercial <br />Type o( project: New Adddion Remodel Repair _ T.I. _ Sign _Sprinkler _DemoG <br />DESCRIPTION OF WORK �ade� �ona�,oacepro��dedon tne back) ���u �� � �� S. <br />�,� ,,�c�—a � � �, � � <br />MECHANICAL PERMIT AFPLICATiON <br />of Projecl: _New _Addn _Alteration _Rep�ir <br />Show Number (qJ ol lixfures <br />nic _ ��. n��Nr�� ,�,.���o <br />Water <br />Olher <br />SPRINKLER <br />S71 <br />Bus. Lic # <br />Otner <br />of Use <br />PLUMBING PERMIT APPLICATION <br />ot Project: _New _ Addn _Altcration _Repair <br />Show Num6er (q) ollixturcs <br />I Totlet <br />Shower <br />Olhec <br />heater <br />Gas <br />I he�eEy cendy thal I nave waC antl examined I�rs a0P'�u��on en� hnow ihe s�me to Ce Ime and correcl All pronsrons cl law5 and ortl�nances goveming I�is IYFe ol work wAI Ee complicC <br />wLll �.netner specAicO Ocrcin or not. The granting ol e permd Gocs not D�esume lo give aulnotily lo molale or wn[el inc prov�sion al any olner stale or lowl law reguldbng tAnslluction <br />Tnai I auihonzeE �y Ine owner ol tf:is propeny lo petlorm IOe woik lor wMc� appl:wbon is maCe ana I comply wr,b �M SIaIe CoMracmrs La�v 1827 RCW anC ]dE 250A NWC. <br />.�./y <br />Own ufha - AnCnlSigna�uro Dale (RewseA3/?013J <br />