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� <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 96201 425-257-8810 FAX 425-257-8857 wv✓�v.everettwa org <br />g-r2-i�1 <br />! <br />for new conslmd�on� S�atl <br />_ Owncr _ Owncr'S Agenl <br />TOR <br />G <br />PROPERTYTAXp <br />� <br />No._ (a1taU� copY ol 1on91egal descnption) <br />CoNraUat _ConVaetDiShgeni _Tenanl�R.up�m.aeamnercicc,.serincmmao..nvmaowmu.moso.�«I <br />ILDING PERMIT APPLICATION <br />Existing Use of �u�l7ing <br />Lic # �O ity Bus. Lic. N O'f� <br />� P�ane�Email y�� /�-l'f O(yz <br />"ACT FOR PERMIT <br />iE�ma�� ��� / O � �� � Z' � <br />'RACTPRICEOFWORK 7GO <br />PropOSBd Use of �Widing I <br />Bu�lding Iype _ Singie Family _ Dup�ex _Tovmhouse _ h7ulh-Family 1�Commercial <br />Type ol pre�ecl New AOdd�on Remodel _ Repa�r _ l� I_ S�qn _Spr�nkle� <br />DESCRIPTION OF WORK ��oo�;ionar;pace pro�,:en c�� me na<K) <br />MECHANICAL PERMIT APPLICATION <br />Type ot Prajecl: _New _dJdn _Altetation _Repair <br />Show Numbcrlplolfixtmcs <br />NC - air handling units <br />I Porced a�r svstems <br />I SUPPRESSION SYSYEM <br />IJumber af <br />PLUMBING PERMIT APPLICATION <br />ofProject: _New_Addn _Alteralion_Repair <br />Shmv Numbcr (a) oI li.fures <br />Other. <br />Olher. <br />ins <br />I r.ereEy cen�ly Ihat I �ev� rexd and e�amined IAis app:Kabon anC Anow Ihe rame lo be VUC ar,d wrretl Ail prorisions oi laws antl md:nances govemmg Inis lype ol war4 n�9 Ce mm� ee <br />�cA� w�el�er specdieG henn or not The 9iaNlnq ol a peimd Uoes nel presume lo r.rve auihouq lo viotale cr wncel I�e provislcn ol any ot�cr siale or ioc21 law mgWating mns�rvu.on <br />Tnal I am auR�orizetl by ine owne� ol �his pmpetly lo p¢tlortn �h<�voiA lor nfic0 appl:calion is maEe anE I comOh wil� I�e Slale CoNraqors lav� 1B 17 RLW anG 1°G 20UA N'AC <br />��1,�!��%G� $- <br />Ow dAWhorizedAgen�SignaWre Dale (REviSed3Q017J <br />