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� <br />PERMIT <br />� <br />APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />320D Cedar St , Everett, WA 98201 - 425-257-8810 — FAX 425•257-8857 — www everettwa org <br />APPLICATIONS ARE ACCEPTED FROM ! AM TO d PM `rJ � 2��I � <br />wu aa: <br />3 � � . 2"-9 <br />. <br />Po�ncwmnstrudio� SMitPlaVwtdivis�on_L��OP._ <br />IIDING �� RMIT APP'LICATION <br />tOVERTY 7A%p PERh11T p <br />ooSoo3o23ooG�-o R1N1Z0'-i -00 I <br />� <br />81 Lic # <br />IatlaUi m0Y ot long icgal dc mpConl <br />- 07 <br />��J! (i,/Gt vi <br />�. _ <br />PRICE OF <br />G � <br />�.isUng Use of E3cdding ��� ' HEAT SOUR�E <br />oposeA Use of Bwlding_�•u1.ACj�V 15 Gas_ f.iectnc�'_ Omer_ _ <br />ulding type _ Single Famiry ,_ Duple: _Townhouse �j Mulh�Famiiy _ Cammcroal <br />pe ol pm�ed _ New _ Adddion _ Rr.model � Repav _ T I_ Sign _Sprinkler _Demolition_Changc o( Use <br />�scnpUon o� Wo�k (aCdRa�a� spax prov�Ced on (he 6acw1 <br />(-��p a,s,��G. �i,,� ��.�C..r� �o u� �� - t�6r�v-r 3'-�r� P9..atdo-- y.i n„�, , <br />t�:}�.J ��I"' ���'F�tb ��i `fT'� �%4�15 . <br />rvc you started worAing withnul a permNl _YES _NO <br />MECMANICAL PERMIT AVPLICATION <br />olProittU _New__Adtln _AlMrdtion_Repair <br />S�ow NumDcr (u) of firfums <br />AlC - av nantlhng unns <br />Forael art systems <br />Gas p�ping <br />Wa;ei heater <br />Gas breplace <br />Cas range <br />CIoU� •s Aryer <br />Ranaehootl <br />� Duclu <br />Q�%I:f <br />SPRINKLER ! SU <br />Number ol lieads <br />PLUMBING PERMlT APPLICATION <br />o/ Pwjett: _New_AOOn _AlleraUon _Hepair <br />Shawer <br />smk <br />Rooi drains <br />MM�wIGas <br />Other <br />Other. <br />I tlPr2by CCtlity Ihdi I �dvC rCdd 2nd CedmiOCd Illis a0�1•���on 3n0 knoW InC slme f0 De WC dntl Wrtp�i All pmvis�ons of laws an0 ord�nances goveming <br />I�'+is rype ol work w+ll De anpiicb with Mhetne� speufied nere�n or rcl. 7he gnnnng ol a pertmt Ooes not presume to grve aut�on;y to v�olale or �ncel <br />Ue pmvison o1 any other sta;e or kcal law regulaLng constmdion or U�e pertormance ol canstrucbon That I am aut�onze0 by the m�++er o� th�s prcperiy <br />lo pedertn Ihe wnrk lo� winc� apptiwhon is maae antl I comp�,y w�t� I�e Sta:e Con!ncters Law �G 27 RCW and 29fi.200 \NAC � <br />�� ��;-�l y/yl�o'r.i <br />�thorizeC Agent �nturo Datc � (Revucd 7R0 � f) <br />vz <br />