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PtRMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 —�waw•everettwa.org <br />qPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (.{ .� �— Ir <br />I� �� 2��1�.}c Il�. <br />br new conslmclion: Short <br />t/�'t.:c� ��.�ba�, <br />�.;�0 ��14 <br />rer.rort (lu„�: <br />Lv«�ti "18Zv <br />�, <br />BUILDING PERMIT APPLICATION <br />Use of Buildirg <br />ZSOu <br />No._ (allach copy ol long legal description) <br />ian �(Z.S 22iQ6�7b'0 ��iL� 3aS7`b'SZ�) <br />zip SL'ahf-L: �l\ c)S'//% <br /># <br />�hone/Email F � ��u {,�rbn.,eS P ���������"�- <br />��T FOR PERMIT 4 LS 3�1 �rjL� j CG� F <br />f a: r ha..k5 st, <br />;;i ♦. . i DL'�LT n �1L7 2�0 6 u S'U — <br />PRICE OF WORK � � , (� �LZ- <br />HEATSOURCE: <br />Proposed Use at Building -- <br />Building type: _ Single Family _ D�plex _Townhouse _ Multi-Family _ Commercial <br />Type of project: _ New _ Addilion _ Remodel _ Repafr _ T.I.,_ Sign _Sprinkler __Demolilion_Change ot Use <br />Desefiplion o( Work (atld�fional spaco provided on Ihe back): <br />��n- f;ll �<<l,f _�'�_�1� ���Nc�(�,rc( (=��,c<<�� <br />� <br />Have you staAed working without a permil7 _YES fN0 <br />MECHANICAL PERMIT APPLICQTION <br />Typo ol Pro�oct: _.Now_Addn _Altoralion _Ropalr <br />Show Numbcr (p) o/ /ixfures <br />. i. i A�C - air handlina units _ <br />SUP <br />PLUMBING PERMIT APPLICATION <br />TypoolProJocl: _Now_Addn _Alloration_Repalr <br />ShowNumber(N) o/flxfures <br />Other <br />>� <br />�e. <br />oJ <br />�f � Numbcr ol Heads — <br />I heieby certify Ihat I have read and examined this application and know the same to be We and wrrect. All pmvisions ol laws and ordinances goveming <br />tnis typo ol work will he complied with whether specifed herein or noL Tho graNing of a permil does nat presume to give authority to violale or cancel <br />Ihe provision ol any olher state or loccl law regulaGng conslruciion or ihe performance of conslruUion. That I am authorized by Ihe owner of I�is propehy <br />to peilonn lhe'work lor which a� cation is R»de and I comply wi�h the Stale CoNractors Law 1827 RCW and 296200 WAC <br />y _ � � <br />� <br />` . ) ? <br />��'��^ ( � -t� `t`�-" -- �-(�J } J� Z�i� fRev�seaisrzoiol <br />OwnorlAWhor fed AgOnt Slgnature D�Ic <br />_ I/7/ <br />