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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., F.vereri, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />qPPLICATIONS ARE AC�EPTED FROM 8 AM T04 PM —� �`/3 <br />PROPERTY TAX 11 PERMIT i <br />ADDRESS: , . _. _ .. _. 1L. .. � E-� DA�ii 9 / � %b ) - 027 ' 6U 3 <br />for new construction: Short <br />Ndz%`z�attach copy of long legat descn <br />m =� l.✓� '7 7/� �f, /_ � 2� <br />�� �7 '� k � S� �uryra�aierup �..'Fl1`J�'1✓1 r'.� r[ •n . v—.� <br />:�Owner _OwnelsAgent Contractor Contrac'ors.4gen1 _Tenant�m�nwvv.aeaienare�mn.enumnmeo.rcrioeo»oanmesvece� <br />� <br />&ILic.# h�-s`z�{S 3z y COE <br />L�t! 2 r.� A� r�So <br />�,p {-Mni <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ' �/ <br />` HEAT SOURCE: <br />Existing Use of Building � '�-L��u •' �'" Q � �' � ��'� �� <br />Proposed Use of Building S4� v!P � Gas Eleanc ot <br />Building type: _ Single Family _ Duplex _Townhouse 1L Multi-Family _ Commercial <br />Type o( projecf New Addition _ Remodel Repair T I Siqn Sprinkler Demolition Change <br />DE(S7CRIPTIONOFWORK(additionalspaceprov/i'dedoniheback): � �X�S��r� v,n�'.r- �.u1el <br />1� � '� 0.r.�� /�G C C il i-r 4 C' r: �� e�.,'� C^ � <br />C�\C VCa:'tCv <br />� � <br />I.r+��C.cr_ l����.d�w.. �2c�e.� w'ia-� l L <br />MECHANICAL PERMIT APPLICATION <br />\o�ocl: _Now_Addn _Altaration_Ropalr <br />Show Number!#) ollixturcs <br />of <br />PLUMBING PERMIT APPLICATION <br />o1ProJqct: _Now_Addn _Alleration_Ropair <br />Other: <br />Other: <br />I hure�y certdy t�al 1 hare reatl ana examineE ��is epplication anC know �he same to ba irue and mneci. All pmvisions ol taws antl ortlinancm goveming lhis type ol work wiA De mmplied <br />wAh whet�er specAieE herein or no1. T�e g ran�ing ol a perma 0oea nol presume to give aut�orrtyto violale or cancel t�= p�ovialon o � any ot�et stete or bwl law rtgulatin7 conswpion <br />T�al I am aw�orizetl 6y ��e owner o1 t�is Dmperty lo peAormt�e work for whiJi aDPlication Is made and l compry wnh i�e Sfafe Camractors L aw 18 P RCW and 296100A VJAC. .� <br />1 , � /� /� <br />1 J' y" ,�l�i (.-�- .�-'- �G� � <br />, i,. . <br />OwnedAu hodzod Agont Signaluro Dale (Revised G/10721 <br />