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PERMIT APPLICATION <br />BUILDING/MECHANICALlPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8F 10 FAX 425-257-8857 www everettwa.o, g <br />� ..iu� ��1 <br />t� <br />lor new tonslruclion�. S�orl PlaUsu�tlivisior <br />� �M <br />1 Alf p <br />Lol No._ (attach eoDY ol long Icga� description) <br />-oy5 <br />_OwnCYSAqCn� _COOI�dC�O� _COn�1BCI0f5Agc0� _1C�BN�musiwanaoale'aaico�scr�tomNoo+.nm�oaoxen�nNosCau� <br /># <br />� Wn2�! <br />BUILDING 1`ERMIT APPLICATION <br />0 <br />5U3 ��1 O t- 3�i (o_ i7 <br />PRICE OF WORK ��.0_O — <br />[xisting Use of Ouiltling YL�'MR, <br />Proposed Usc -of/�vilding Sl7,.<`�lR� __ ��s <br />Duilding type X Single Family _ Duplex _To�.vnhouse _ Multi-Family _ Commercial <br />Type ol pw�ect. New �ddition �Remodel Repav _ T.I. _ Sign _Spnnkler _De <br />DESCRIPTION OF WORK (atldir�onal spacc providen on Iho back) �. <br />— 'lectr�v�q W�,1� clew•n �jea,wee� ��.1z�v, -�- -Cr�v��l� <br />-��`� G� S\�[��Y c400r U,..-40 l��cL �i..�a� . <br />MECHANICAL PERMIT APPLICATION <br />ol Project: _Now _'lddn __Alteration _I<epalr <br />Sltow Number (k1 0l lirlures <br />NC - air handling unils <br />I Porced air svslems <br />Fxhaust <br />/SUPPRESS <br />Number o( Heads <br />IIEAT SOURC@. <br />i� <br />M <br />PLUMBING PERMIT APPLICATION <br />o1Pio�ecl: _New_Addn _Alloralion_Ropalr <br />Balhtub <br />hcater <br />ase <br />A".edital <br />other <br />I hmeby cendY ihal I have rraJ inJ c.am�n^d IPu a, FLcufion anE At,vw Ihe san�e io he trur, nnA m�mct AO pmrsions cl laws xnd ordinanres govemmq Ihi.lype of woi1. wil ba eompled <br />eil� wheVter ;pecule0liemin or nol T�e g�anling ol a pertnA does nol prsum^ lo grve avil�or�ly lo vinUle oi etncel Ne pwvision oi any o:ner stalv o� local law rryubbng mnamciion <br />i�al 1 am aumonte� by Ihe owncr al I�is pmOMy to pctlorm I�c woik tot w`im appl��iron it maEe an01 comply wnh IAc'dvec Cunvacton law 19 )1 HCW antl 39G ioOA W�C <br />-nt /Z <br />��1uV.�--t C�(L�' rv�1G�-CV� 2(2P� i �1 <br />Owncr/Au�h izotl Agon� Signaturc Uatc p?,:m5c0.7/'OU1 <br />