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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIG�V/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX A25-257-8857 tiwvw.everetiwa.org <br />rwca <br />1or new Con57mcUon Short PlaVsubdrvi9o� Lm No _(at4�nc �opy of long legal Eewnptio�) <br />,L�i� <br />QB ���""� D� �E IC�ry/StalelZip �✓�n� J� iev�Vs W�7 <br />_Owner __OwnersAgent _Contraclor _ConlractorsAgent _Tenan��T�.v��o.�ao.ir,�;m�.,�.ri�.,,me�-,+«i�ao..,n�nir. <br />Slale Lic. # <br />PERMIT APPLICATION <br />PRICE OF WORK <br />Use of Ouilding �f%t�lT�v � � <br />d use ol Bu�{ding�E �l�M��y <br />type� ��Single Famity _ Duplex _Townhouse _ Multi-Fam�ly _ Commerc�al <br />nmm[I New Adddion RemoOel ReDair T I. Sion Sprinklei <br />ESCRIPTION OF WORK(adtl,trona!spacepro��tledontheCack)� <br />Bus. Lic # <br />i�T G*�/��72 7,�/�C �P5�1-�/�c.E�"l��t/% <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APF <br />olPro�ect: _New_Addn _Alferation_Repair <br />Shaw Numbcr fpl o! (xfures <br />— air handlino untls <br />[xhaust lai <br />Heal pump <br />UnA heater <br />F�7� I;1.`i � X�1 <br />of Use <br />ot ProjecC _New_AdAn _Alleralion _Repair <br />ncater <br />Idedical Gas <br />Other. <br />I �ere0y cerLfy Ihal I �ave maa an� c�amhed I��s appiiUl�an antl Ano 1e same lo De We anG cartect. An pmvis�ons cl laws and aramanus goveming t�ls lype ol wei� wdl �e wmpi <br />wi�tl wncl�er speufied �emin or noi. 1Tc graNing ol a pe Eoc � Omsumc lo gne dnP�onty lo eiolale ar rvnLelOc pmmLon ol any otper slala cr IOG�I law reguWi�ne wnslNG�on <br />iTa11 am auNONzea Ly Ne o cr o1 V�is pmpeM � woA for w1ik� aDDf¢aboc is me9^ anE I campty wiN i�e 5ta'e ConlnUois law 1B.]7 RC�Y ana 79G t00A l:AC. <br />4 �� <br />Ow ut iz A 5' ure Dat (Revised 9QO1a) <br />