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PERMIT APPLICATION <br />BUILDINGIMEGHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wwv✓.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />oonocnTvrexn PERMITN I . <br />,�c�... I�.'F,r V,��v lJ,; <br />/o� new consiruction. Short PIaV5ub0ivision <br />� <br />(aitach copy of tong leaal Oescrip(ion) <br />' �C� �� '�i�5�i S <br />C`% �L'CSr ��L�v ./JyIV� Ic�tr�siaie�z�p L-��l-r?��r !�L'q. ii7.cc.> <br />�Owner OwnefsA9ent Contractor Conlractor'sA9enl Tenant�m�s�o����Ne.rr.nm�o��-M�ro�meo.�ioao.oa�,mesce�-et <br />�R r�� ti J�%l � i r"'.-'� Il I'� (J ,L 8 I Lic. xi _ coE eus. Lic. # <br />/ <br />PhcnelEmal <br />BUILDINCa PERMI7 APPLICATION CONTRACTPRICEOFVJORK <br />Ezisling Use of Building _ . _ , <br />Proposed Use of Building G= <br />Building type: _ Single Family _ Duplea _Townhouse _ Multi-Family _ Commercial <br />Ty^^ ^� ^•^�=�4� New Add�tion ftemcdel Repair T.I. _ Sig.i Sprinkler C <br />DE6CRIPTION OF WORK (atltldionai space pmvided on rhe bacel. <br />I;?���C�'(` ����� <br />of <br />MECHANICOL PERMIT APP�ICATION PSUMBING PERMIT APPLiCATI <br />iype ol ProJect: _New _Addn _Alleration _ Ropair Type ol Profect: _New _Addn _Alteralion _Repair <br />Show Num6cr (M) ollixlares Show NumLei (pJ ol Aeiv�es <br />I AIC — air handlina units I Toilet <br />hea�er <br />UJootlslJve <br />/S <br />Clottes <br />Water h <br />Other: <br />5ink <br />I mre.by ceiVy Oiat I have rea:f and etamined I�is opPlkelron enE know �he a�ma !o be Inio an� wrteq. M ptmisionf ol Wwf en 1 oiCnence� govemhp ihia type ol woM w,R Oa :omplietl <br />r: �na �cBc;ncr =penfma t-arin or noL TM gnnling ol e pertnit tloee nol p�esume lo pko evNorily to NOWIa a cancN the pro�vsron ol eny a;Iier state s local lew repulalin0 �onslmclio� <br />i n.�l I am nolhomed by Ihe mvner ol lh�u propeny In Perlorm t�n woM1 tor whkh eppficallon h meCe anE I eompl/ wlh Iha Siate Contraclon Law 19.i7 RCW enE 7B6 2 WA WAC. <br />� ' �1�/�laa a <br />- >:�;1- ��.��.t� <br />OwncrlAuthodzed Agent Slgnaturt- Oa1e (Revhetl W207?1 <br />