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a <br />( <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF �VERETT 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 />29 31 W, tYlar;,�e V� eu/ Dr <br />lofneWtonsiructlon: Shor1 <br />!6 <br />No._ (atlach copy of long legal desc�lplion) <br />�Owner _OwnefsAgen� _Contractor ConiraclofsAgent _TenaN�mw�Mo�aeaiene�oiron�emvomnoownwmao«oninmasp.ce� <br />BUILDING PERMIT APPLICAT �": <br />Existing Use of Building <br />Proposed Use of Building <br />Building type: _ Single Family _ Dup�ez _Townhouse _ Multi-Family <br />r..__ _......:.,... uo,., ndd�f�nn Remodel Reoai� T.I. <br />PRICE OF WORK <br />Commercial <br />COE Bus. Lic. # <br />��DU� D <br />SOURCE: <br />ctric_ ol _ <br />Chanae of Use <br />CRIPTION OF WOR K(edditiona� space provided on the 6ack) : <br />•�:.xp�c�� �I��ral�hih� o�' e��s+,'�,y 3so� s�- ��1� <br />MECHANICAL PERMIT APPLICT�TION PLUMBING PERMIT APPLICATI <br />ofProjecl: _New_Addn _Alterallon_Repair TypeafProJect: _NcN_Addn _Alteration_Repelr <br />Show Number (N) ol �xtures Show Number (M) of Ilrfures <br />i a�r. _,�, naodrna uni�s ! Toilet <br />/ <br />of Heads <br />Other. <br />Other: <br />:r <br />1 here6y cerLty thal I have read ard examined Ihis applrcation enO know Ihe same to ba Uue antl cortect. AA pm�isiona ol laws enA ordinances gov.ming thia type oi woik wiA be complied <br />with whether apecReA �emin or not. TTe gran�ing of e pertnR Eoe� nei Presuma to plre aNhorlty to violate a canal t�e prodsion o1 any Mher.�ale a bcai lax �epuletinq wnstrud'pn <br />That 1 am avl io Ized by t�e owner ol t�ie property to petlorm Ihe work lor which appliwtian is maCe end I comph �� ��e State Contrecton Law 1827 RCW anE 296 i00A WAC. <br />1 <br />���, � � z <br />� � ���� � <br />OwnorAut� dAgentSignature / �/ �a� (Revise06/20tt)� <br />/''n St, vn g r. r�cN�, �if��r'� � <br />