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PERMIT APP�ICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Evereft, b'VA 98201 - 425-257-6810 — FAX 425-257-8857 —www.everethv � g g`/' <br />APPLICATIONS ARE ACCEPTED FROM 8 i M TO 4 PM <br />PROPEftTYTAXtl PERtdlTtt 1 � � I�j <br />ADD"ESS:. '� 7' I/' S <br />L( � l, i�' r9i[7 �L (JO U <br />�L for nmv consfmclion: Short PiaUsubtlivision _Lot No._ (altach ccpy ol long icga� descript�on) <br />81 <br />��� �PhoneiEm.^.nYLl ?E J'7S3/ (onvh�/�N�'S�i r�cct . fr ,:r <br />fACTFORPERMIT T,./ '�,F,t.N�� <br />,.. _ ... _ I � . � _ . 6)n..�n G�.-v:.o t.C. nt <br />BUILDINGPERMIT�PPLICATfON ICONiRACTPRICEOFWORK <br />F1[AT <br />Use of �uilding <br />Proposed Use of Building � <br />Buitd�ngrype: _SingleFamily _�upiea Townhouse _Multi-Family _Commercial <br />Type of projecC New _ Addition _ Remodel _ Repair _ T.I. _, Sign _Sprink�er _Demolition_Chdnge of Use <br />De5NiplionofWork(addifionalspaceprovi ndonNebad:J: r�•��� p��u�lle'��$. ILG(MO�/�C-� �I_��^'�n`� <br />� �ISi/t�C�liu�LY"�'I:�-W�S n t �vlSt4�� 11�C�iT1[�It4� <br />" ���J � i i,'1 ���vf �`�;.N uny�� t � <br />,�;;u��,j 'r,�r�.� , Tut� mcv,, w/� r� r� � �,,, a��, ros,, ��.7 �irt•� <br />,/ go:�,�.,s 1 P.,S+s 7c �Tn ( <br />E�C�.f/icFunv�tc W UC.lf .;�l,:n/) <br />Havoyouslartedworkin�wilhoutapermlt7 _YES yq_No �. ,�� ., cx��sti,i. _ <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING �ERMIT APPLICATION <br />TVPo ol ProJrcL• _Ne�.v _Addn ,LAllerallon _Repalr Type oi Project: _New _Atldn �Alteration _Reaalr <br />o.��.r IJ�unFnr /kl a/ /Ia111fC5 <br />unils <br />Olher_ <br />'SUP <br />CIo11��es washer <br />Water heater <br />Sink (servicelb2 <br />[3ackfb��v preve� <br />Urinal <br />Drinking FountE <br />Floor drain <br />Grease trap <br />Rocf drains <br />Medical Gas <br />Other: <br />L__ I Nur�iberofHeads ' -� - <br />I���crcty cetldy Ihat I I��ave read and cram�ned Ih�s aFpnca6en and Anc:i �he same to be Irue and correct. All provisions ol iaws and or0inances goveming <br />�s ;qpo of work will U^ wmplied wi:h vihelher spea�ied heiein or not. The g�anling ol a permit does not pmsumo lo give authority!a violate or cancel <br />tho pmvision ol a{ly Oy�er stale or Ic,;al law re8�ating u�structlon or lha pedormance of cons Wction. Thal I am authorized by lhe owner ol lhis pmperty <br />'o pedorm lho wdrk Ir wh2h app�ica�ion I5 m,2de antl I com�ly with Iho State Contr; ctors La.v 1817 RCW and 298.200 WAC <br />;, �-�/' 1�Z <br />� ^ _ Ix / (Revised711017) <br />� <br />Owr�rlAuUiorized A9�:nt Sipnalurc <br />f� <br />