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t <br />PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM �— �'Z� � Z <br />ADDRESS: _ _ . _ _ PROPERTYTA%p .PE�M�T`t , _ __N <br />tor new constivction: ShoA PlaVsubdivislon Lol No._ (attach copy al long legel <br />_ Owner _ Owner's Agenl _ Contrector <br />PERMIT APPLICATION <br />Conlractor'sAgent _Tenantlmmipoda.isnxmmm.mrrammeonmrmaowonmu»�p.u� <br />& <br />:ONTACT FOR PERMIT � <br />2oc�• �41 •�tio <br />PRICE OF WORK <br />Existing Use of Building �i1��1 ,����2E�lO�T�L <br />Proposed Use o�f B�uilding .�t/i� Ges_ <br />Building type: V Single Family _ Duplex _Townhouse _ Multi•Family _ Commerciel <br />r.,..e��.,.,.�«r Naw addition Remodel Reoair T.I. Sign_Sprinkler�Den <br />DESCRIPTION OF WORK �addi�iona� space provided on �he back) : <br />r��,N�o� f����Mic.�CsWaJE �M ��.IT <br />MECHANICAL PERMIT APPLICATION <br />ofProJecl: ,New_Addn _Alferation_Repair <br />Show Number (p) of flxfures <br />A/c: — air handlina unils <br />Number <br />PLUMBING <br />ofProJecl: _New_Addn _Alteretlon_Rapalr <br />Show Number /M) o/ /lxfures <br />Medical <br />Other: <br />O�her: <br />..�a <br />I hemhy certity Ihel l heve read antl exemined Ihis applicetion and know Ihe seme to ba Wa and carreU. Atl piovisiona ol lawa and ordinencea povem�n9lAle rype ol xorkwi0 be cqnp0ed <br />wAn whet�er specmed hemin or nol. 7Te pran11n0 of e pertnd doee nol prosume to qNe aWhwity lo vblate or wncel Ihe provishn ol any other alale w bul law iepula�lnq con�Vudbn <br />That I a�Y t�e owner o11tJa pmperlY 10 pertwm t�e work /a whkh epplkalbn Is made antl 1 compN wBh Ne Sttle Conkxlan Law 18.27 RCW mE 298200A WAC. <br />i�Y�' "'�"/ �'�� � I t/ <br />.o.......w cnmo� <br />