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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDtMOLiTION <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 4 PM <br />for new construction: Shor1 <br />OWNER <br />�• <br />.NE tG'-� <br />p <br />PERMIT # <br />'GL9S'noG eo I '7�' <br />No._ (attach copy of long legal description) <br />. <br />� <br />�Owner _OwnersAgent CoNrador _Contraclor'sAgent _Tenan��m�:�v�o�aeai�n�roi��:emirommoa.��ermeo»ak��rswace� <br />�_. .... ___".___ ._..�! / / <br />�� �Sts, �f+i7%✓� r �( .SAKS <br />& I Lic. # Gn:�a c <br />Phone/Ema <br />ONTF�.�� ' . � "`RMII <br />Cu' ��' <br />hone�. � , o . , � <br />r COE Bus. Lic. # <br />c. i.ia • c.wff�.. �7.•.�. c e..� <br />f �A��/i,' <br />GJMffv"F��M.GO/H _ <br />BUILDING PERMIT APPLICATION CONTRACT PRICE UF WORK �s�r o!o eo " <br />HEATSOURCE: <br />Exisling Use of Building <br />� �OL� rj(t.qG�C. Gas__ Electric= Other_ <br />Proposed Use �f Building G�na <br />Building type: _ Single Family _ Duplex _Townhouse _ Mulli-Family _ Commercial <br />Type of projecC New __ Addilion _ Remod=l ReF3ir T I Si n Sprinkler Demolilion_Change of Use <br />DESCRIPTION OF WORK (adddional space provided on the back/: <br />/�op�rio�A.c Sr,z��T��yL .ShcPo��-l" <br />MECHANICAL PERMIT APPLICA710N r <br />ofProfect: _New_Addn _Altaration_Fiepalr <br />Other <br />NISLE <br />PLUMBING PERMIT APPLICATION <br />ofProJect: _No•n_Addn _Alteration_Ropair <br />Show Numbcr (N) ol lixtures <br />Other: <br />Gas <br />I here�y cer!�ty Ihal I have read and ezamined Ihis appGw�ion end know t�e same to be true antl correct. All pmvisiona ol laws and ortlinanres goveming this type ol Mork ��+II be complied <br />v;;R� v.nm�cr specifieC hereln or not. Tha g ranting ol a peimit Eoes no� presume to give author�y to violale or canttl l�e provislon o f any olher slate or local law reguiaeng consWdion <br />That autnori:ed by Ino arner ol this pmperty lo pertorm the work br which applicatlon is made entl I mmply Hit� Ihe Sfete Contranors L aw 1B 2� RCW and 2W 200A WAC. <br />z i �I � <br />OyGnerlP.ut nzedAge�rt-8 aWro <br />�ale �Revised 62072) <br />v i _—� <br />