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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMII' 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 4 PM ��' �.3 —� � <br />ADDRESS: r1� � r PROPERNTA%# PFAM�Tp ` <br />�� � �t !�K L VC C��� Ltl� ')`')7✓ I CJC)`i$l�i � l3 c� 3/J�.? '� �y%�i�l '.(�C.., <br />�L lor new conslruclion: SnoA PlaVsubdivision Lot No,_ (attach copy o; lo�g legal aesuiption) <br />�� <br />=iIS `�3�i0 <br />�Ov.roer � Owner'sAgen� Coniracior _ConlraClor'sA9en1 Tenanl(-���.in�o.aeae:xrortome�ii�bnnew.mri�eo+.rnk�nr.so+:«I <br />_ �.. _ i z i i�� s COE Bus. LiG. # <br />BUILDING PERMIT APPLICATION �GONTRACT PRICE OF WORK '� (' 00 <br />Exis�ing Use o( 6uiltling �.�%' � " a� nl �- F� HEAT S�JURCE: �.; � <br />"T— <br />ProposedUseofBuildino �ur✓ Gas Eleqric otner_ <br />Building type' x Single Family _ Duplez _ ownhouse _ Mulli-Family _ Commercial <br />'ype ol pmject New Addifon ?: Remodel Repair T I Sign Sprinkler Demolition_Change of Use <br />�ESCRIPTION OF WORK (atlaitional space providetl on Me Gacw): <br />�1i''.;i.;,, `\ �:.{cl-.:_�� i,� L+-,tc�,....�1. n.41:�.� L.,� .1.� �;r, z �3.��.-a�,. ��j' C ir.l��:,.r <br />�`/ , <br />.��.,.• ��,rw .,. ��a.�,r�� a,-d ._ `�._Ib�a - - <br />MECHANICAL PERMIT APPLICATION <br />ypcolProJecF. _New_AJdn _Alleratlon_Repalr <br />Show Numbcr (p) al /l.rfures <br />1 NC—airhandlinaunits <br />hood <br />Unit heater <br />Boiler <br />Othcr <br />PERMIT APPLICATION <br />o1Pro�ect: _New_Addn _Alleration_Repalr <br />Shaw Nuntber (#) o! Ilr(ures <br />1 X I ToAet <br />Kitchen <br />Other: <br />Gas <br />I hcrcGy certly ihal I have reatl anJ ewmmetl t�is aFVlKalan end Anmv Ihe eemc lo �e Imo an0 corteoL nll pmvisions ol i�ws and orCinanme 9eveminp this �9a olwork vi�OOe mmpXe� <br />r; nh v.4ethe� spenfeG herein or not Tho B�enlinp ol n pertnil tloef not prcsvme lo B�'o aul�ony to WoWle or cancel ��n pmvisbn ol eny ol�e� slale tt Iocal law reBulalinp consWCLon <br />Inil I am nutnonrca Gy tl�o mvncr o� I�le pmperty �u Fcrloim I�e woM btw�K� opplKolbn b maCo an01 compN wn� Ne Slale Comraclon Lew 18 ]7 RCW and 7992WA WAC. <br />. � -�� � �'.�- ✓ % �.��i ' � :�/ j � <br />pwn¢r/Authodxed Agenl Signalutc Dale (ReviseC 6/20/PJ lli <br />� � <br />