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� <br />F'ERMIT <br />� <br />APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGlSIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO E PM �� S—� y <br />JURCJJ: �� ` � <br />` 5 3 °� � <br />for new consimction SM1ort PlaUsubdmsion � <br />t D V 0 rti\C� U`EGz�^C <br />�] 1�- li Z Q'.�-'ANi- <br />No <br />a <br />(attach rqpY of long legal pes[nplmn) <br />C�t!'��-1- vJi� �I <br />_Owner _Owner'sAgent _ConV.c�or �Contr,acloYSAgen� _Tenant�mm�o��a����'nemcimnssmecmmaw.na�ioeo.wn�nmesn.+�l <br />CONTRACTOR � Y��'L � �� CNO�^' <br />Qda��ts 1 a3 Z� 2� � l�+.a_ n� 4 <br />TENANT BUSINESS NAME <br />BUILDING PERMIT APPLICATION <br />� a � ��c a T�vEh+NGB <br />�i��'L-fj Phone/Fm�� <br />qCT FOR PERMIT <br />N�L���n'� Z1 <br />PRICE OF WORK O� °—�– <br />wisting Use ot Bmlding �oC� ��iC h HEAT SOURCE <br />� <br />roposed Use of Auilding 1�2 e 1C ��5� �1 G,s___ Eiennc_ _. <br />utltling type �Single Family _� Duplex _Townhouse _ Multi-Famliy _ Commercial <br />y�e or �ro�«i New Addition � Remodel Repart _, T I Sign _Sormkler___ Demohtion Chang <br />IESCRIPTION OF W OicK i�dtlrt�ona� space pmviJeJ on Ihe Dack) <br />j2e.,�o�-e_ � (-+��O•cQ. �P_,x�5iy� ��ee1� � l.l�z � \�V-,2 <br />MECNANICAL PiRMIT APPLICATION <br />ol Pmject: _New _AdAn _Allnration _Repair <br />Show Numbei (p) of liictwes <br />NC – au hantllin umis <br />Farced art systems <br />� Gas piping <br />� Waler I�eater <br />� Gas Irtep�ace <br />Gi.ranqc <br />Clolhes d er <br />Ran9c hood <br />Gxhausllan <br />Hrat pump <br />Umt healer <br />Hoiler <br />Refri eralion <br />WooAstove <br />Ducling <br />Olher <br />SPRINKLER / SUPPRESSION SYSTEM <br />PLUMBING PERMIT APPLICATION <br />olProfecl: _:�ew_Adtln _Altcralion_Repair <br />Show Numberla/ o! lixturcs <br />KiI[hen 5ink <br />Rool drams <br />Medical Gas <br />011tcr <br />I hc�rliY �`�t�y Ihal I p�vr mml .rid iv:�m�nrd I�is npp4ulmn and Inow i�r �amc lo Lr� Iruu anA c»rtcttt /dl yronaions nl laws onil mtl�nanm.5 9ovemin0 I�is typn nl w�n wEi �r �4mpnrrl <br />w.�0w�rl�c�•,prr.iAr�nrmrmm�nl ihr�rnNmpolaprrmnaoc.noipmsumelnynn.iWM1onrylovioplcmainml�Ocpmvismnnianynlnrrsbtcorbovlawmqulaen9rnm.mrt.eon <br />1T:tl I am aWPoivM Uy Itw awnci ol Ihc. D�I�mty to Prr�irnm Itin wnA Im wL li :�ppli�il:on r. maae an� I �a�ml�iY wib I�c SL�Ir f.m�npoc.l aw 11111 Nf.V! anol4f ]pf1r1 WAC <br />\ �� <br />�__� 11 'I.o� <br />Own¢ Au�horiled Agen� naturr pub: p7nvucJ hl,�012) <br />