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PERMIT API�LICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITInN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-881 Q— FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDR <br />lar new conslmction: ShaA <br />naa«s5 03 <br />TENANT BUSINESS N M 1�� <br />5�N � h'^� F <br />BUILDI G PE;+.MIT <br />—T <br />Ezisting Use of �uilding i�� <br />�{'�✓L-%!%Il�� �JC/TJ7 <br />� <br />� 5 i SGAt��t' <br />CATION <br />TA% N <br />No.� (allach copy ol long legal descriptian) <br />�aa/'113'1 �S�/— 712 z �5�� <br />Zlp Su.1�Lli.o�i � 4_ (s�ay b' ^} � <br /># �-�-NcEHT3y��� <br />' 3� e <br />� Phone/Emai – <br />��T FOR PERMIT �u�27 T u�tl�� <br />tail �.,Ql�(.E �!/j�ry ��lzS <br />,CT PRICE OF WORK � 4�� <br />HEAT SOU <br />M <br />�l — `/15 7 y z2z <br />��S�u "3 � 78 <br />�Sy— 7 2Z z <br />Pmposed Use of Building_[_ �+� G'kF �� �" y I 1OS '� — — <br />6uilding type: � Single Pamily _ Guplex _Townhouse _ Multi-Famiiy _ Commercial <br />Type of projecl: �New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _�emolilion_Change of Use <br />Description of W o�k (adddional spaco provided on fhe back) : • , .- .l <br />�S/c, �O % iNr�-�' � <br />Have you started working without a pcnnit7 _YES �NO <br />MECHANfCAL PERMIT APPLICATION <br />of Projecl: _Naw_Addn _Altoration _Ropair <br />Show Number (R) ol lixtures <br />I A/C – air handlina Unils <br />RI <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />ol ProJocl: _Now _Addn _Altoralion _Ropair <br />Show Num6er(p) o/Iixturcs <br />Medical Gas <br />Other. <br />Other: <br />I hcieby cetlily Ihat I ha�e read and examined Ihis appiiwtion and kr,o�vthe samo to be true an6 correcL All provisiors of laws and ortlinances goveming <br />Ihs Npe of woik will be complied �vilh whether speci(ed herein or noL Tho granling ol a pemiit does not presume to give authority to violate or cancM <br />U�e piovision ol any olher slate or local law mgula�ing construclion or Ihe pedormance ol conslruction. Thaf I am authonied by the owner of Ihis property <br />tu peiform the work lor which applicalion is made and I comply wilh the State CoNractors Law 1827 RCW and 29fi2L0 WAC <br />/�"�/J �-- �t"�y2(oZvli ��i�TTvH^Sv't/ <br />�� <br />Ownor/i�vthodzad A nt Signa�uro Dale (Remsed Z20f i) � <br />L �.�Ct �--ili/4« I ✓ <br />��,.�,��r'.�i7i�� �dh L � <br />