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PERIIAIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St. Everett, V.A 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM � 3.� <br />NZ �FSSO ^ „ _A� � � �� PROPENiV TAX p PEaMr ./ ^�' OO <br />sS `i �i// 1/ V-v <br />br new wnstruction� Shart RaUfLbdivSion <br />� f E� dUiP�9 �/ % <br />a.3 0 9 /Yc ,Dece'� a .c �Ju, <br />No._ (attach copy of Ion81e9a1 Eesaiption) <br />�� aod �7i.sr- ya'Ly <br />�Prvr .� <br />_Ou.�er _OvmersAgent �C011tl3ClOf _CAM2CIOYSf�QClII _TCII�IIIImustD�+�e�eEaclm�senifanmevmrvbCa+ak.nMspece) <br />�� <br />NG PERMIT APPLICATION <br />Use ol Building <br />�F <br />Bus Lic. # <br />� a 3/ -ksy' <br />-TN6.t'r0 <br />s'� 9 7/- %�� 6 <br />PR!CE OF WORK <br />d Use of Buit ing � <br />type: Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />�roiect: New Addition Remodel Reoair T.I. Sian Snrinkle <br />iSCRIPTION OF W ORK (eddrtionel spere providM on the beck): <br />/1°CP.cRC6 ,4/5���'kFe <br />MECHANICAL PERMIT APPLICATION <br />olProject: _New_AAdn _Alteration_Repair <br />Number of <br />PLUMBING PERMIT APPLICATION <br />ofProject: _New_AtlCn <br />Slrow Nuniber Ml <br />v <br />Medical Gas <br />Other: <br />Other. <br />I Aem�y certAy I�x� I �ave MaA aiM e�BmincA I�c upObqiq,� anE Imrnv Ihe samp �� x I�ue anA tortecl Ni p�w5u;rs ol laws ana oMcwnoes gweminp th5 type o( woM MiA Oe compliN <br />wiVi Ne�s�:ecbM�ernmm�ollhegnnlm0a�apermAAcesnotpreSumeU�v±aSho�f,ylovolateorcanmlNeprw¢unolanyolne�5alrorbcaltiw¢�gublrt�pmnsbuWon <br />�hat a aui�oazcd �y tlie wmCr ot jm�iy to pertwm Ne woA iof wtnch ➢F �U s maCe ana I romplywittl tlR SIatC CvnlfJctoR L�a' 18 27 RCW and :9fi 200A WAC <br />- / � J � "/ <br />' dANhorizedAgemSignaNro Daro (RaviseCfv20i2) <br />