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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvuw.everettwa.org <br />ADDRESS: <br />i n �. i1 i.c� <br />lor new eonsimtfioa Sl�od <br />�J�I <br />Tnx a <br />No,__ (atlac� coDY a� long legal dcscnplian) <br />Ownei OwnefsP�ent _Contractor x Contractor'sAgenl Tenant(wnio�e.meartre�o�mn.nn�mwuow�����uco..00.���ere+ua:�•) <br />�,� p.j W? W�Z IMf� c�ty eus i.�c x <br />..Y Phone%Emad y zr —zIX -z2z Y <br />lUILDING PERMIT APPLIGATION CONTRACT PRICE OF WCRK <br />.ais6ng Use of 6wldmg <br />'roposed Use ol �wlding G' <br />lwltlmg type _ Singie Fanniy _ Duplex _Townhouse _ ��lullrFamily _ Commercial <br />'ype ol pro�ecC New _ Additwn _ Remodel _ Repair _ TJ. _ Sign _Spnnkler _I <br />)ESCRIPTION OF WORK ;aCn�tmnal sF��v P���'C-d on �ne �oc41 <br />,... �, t'.���� �.�-�,�y a�s,�c�.� 2oRlo � <br />17em0��i� �k <br />MECHANICAL PERMIT APPLICATION <br />Typo ot Project: _Naw _Addn _Altoration _Repair <br />Show Numbcr (#) o/ li.fur^s <br />A/C — air hend6ng unds <br />I Fnrced air svstems <br />Hea� <br />Other <br />-21d'- <br />RCE. <br />z� <br />PLUMBING PERMIT APPLICATION <br />olProjec�: _Now_Addn _Alleralion,_Ropair <br />Shaw NumAer iHl al /iR fwes <br />drams <br />Other <br />3 <br />NumberolHeads � """'� <br />1 �erehy ceiDfy Inul I �ave �ea0 an0 eeasmed Itis aDP'�-at�on antl know ��e samu lo Ce Ime an0 v:rre[I. All pmvi,rons cl laws and orUlmnces 9oveming �hrs type ot work x�Ai be compued <br />wnb x�e:�er specdleE I:ereln or not T�e S�anhng ol a perm�l Coes not Dresume!o grve aulhonty lo v:o:ate ar cencente pmvis�oo 01 any ol�er slale or Ioca1 iaw reyulatng conslmclion <br />Tn_� I am aul�cr¢ed Sy I�e ownci ol t�is pmperlY u Geilcrm ��e wod Ior w0¢� 2FDIiu,hon is m�de an! I compry N'.I� ��c Slale Contre��rs Law 18 i7 RCW anG 256 2WA R'AC � j <br />I� <br />OwnedAuthorized FNSig ature /? 1',atc jRe�vsed3/.�073) <br />