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� <br />�J <br />PERMIT APPLICATION <br />BUI�DING/M�CHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITi01� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8367 www.everettwa.org <br />IZ— <br />for new con5lNclion' Shoft <br />rLFS.LL�¢ �vE <br />a <br />1Uu <br />No._ (altach copy ol long legal aescriplion) <br />�///9 �i92D <br />r <br />_O�vner _O�vner'sngent _Contractor _ConlractoYSAgent _Tenantlm�+�F�orao�ian�roicomrn�Tmoo»�ruao.on��mesea�a� <br />C <br />Stale Cic. # <br />Phone�Email <br />20G' �+Zb - ?,'�Q � <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Exrsting Use o( Budding <br />Proposed Use of Building �� <br />Building type. _ Smgle Famity _ Duplex _Townhouse _ Multi-Family _ Commercial <br />iype of proiecC _ New _ Addltion _ Remodel _ Repair _ TJ. _ Sign _Sprinkler f <br />OF WORK �aoamo�ai space p�o�medoo rne eack): <br />D�MO�� ���^� <br />MECHANICAL PERMIT APPLICA�ION <br />olProject: _Now_Addn _Alteration_Repalr <br />Show A'umber (pJ o! /ixfures <br />" nir _ ��, n��ni�o� ��,.�r� ---- <br />W�ter <br />heaier <br />of <br />p <br />of Use <br />IDz�( � S�-� <br />PLUMBING PERMIT APPLICATION <br />olProject: _New_Addn _Alteration_Repair <br />Show Num6cr (N) o/ li+tures <br />I Tuilel <br />Medical Gas <br />Other <br />i AereEy cenJy II�DII �evc reatl anE c�aminetl Ihis appl.wban anC know ihe same �o �e ime antl corrccl. All provnrons ol laws nnE orCinances gaveming ��is lype ol work wJl be compLeE <br />anh wnetner�p ofen Oeiein or no� T�e grammg ol a Dertnil Coes not presume �o gna avi�orny Io viola'e or cancel t�e provison ol any o�ner slnte or lowl law regolating conshucLon <br />Tna� I am a t oraca y I�e owner of tl��s pmpeny lo pe�omi I�e nrork lor wm,� apP:raeon is maCe nnC I compry wn� I�e Sto�c Ceniraclors Ww 18 27 RCW antl 296.YODA WAC. ' <br />`v <br />4�i���y <br />OwoodA orized Agenl Signature Dale (Fev�setl32013) <br />