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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 — wv+w.everettwa.org <br />qpPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 3-��-� 3 <br />PROP[RTY TA% a <br />IPIAI7ht 11� <br />�"� �'��<{�? 1'�'�l �I �' <br />lor new cons�ruclion'. Short PlaUsubdivision__ <br />2 ( � I � � �. � '_ � � I � -, �-'� � � � <br />l �f�v'�GY L.� <br />r�(ti 1'1 <br />1 <br />�:� 1��1i'� r 11 '�.��li� <br />BUILDIkG PERMIT APPLICATION <br />Fxisling Use �t f3uilding <br />Lcl No._ (���ach copy ol long iegal description) <br />'hone/E-mail �"" ' J ��� � -)��' IC) — <br />1• r' <br />".IYISIaIelZ�P V � �'��� � -' I <br />iaiuo.a j���il�'ll�l��` tlr�Il� l� <br />PERMIT �17 <br />j l �- <br />/ I <br />PRICE OF WORK <br />Propased Use B �Idiny — <br />6uilding type: �ngle Famity _. Duplex _Townhouse _ Mulli-Family __ Commemial <br />Type ol projecf. New _Addition _ Remodel _ Repair _ T.L _ Si9n _Sp�inkler _Demolilion_Change of Use <br />DeSCription oF Wo ddNpnal space provrded on Ihe back) l / l� <br />�� � ���� �,, � � ; �� �, ���� � � �� � �, � �i ; { � ��r , <br />YES �NO ��_ <br />IHave you started working without a pennit9 _ � ERMIT APPLICATION <br />MECHANICAL PERMIT APPLICATION <br />of Project: _Now_Addn _Alloration,_Repair <br />Show Numbcr(N) ollixturcs <br />i nrC _ air handlina Um�s _ <br />SPRINKLER SUPPRESSION SYS <br />ct <br />I hr.�by cerlAy 11'�at I have r�t�a anA exprine� <br />ll���c rype of work will be complicd wilh �hclhc <br />inc piovision otanY o�hcr state or local i�v{rc <br />to peAoim tire vmrk'Jor � hich application is rtl <br />-,. <br />\ <br />nwnerlAuthodzed Aycnl 91gPaturo <br />PLUMBING P <br />otProjecl: _.New_Addn _Alteralion_Repair <br />c�.,.,., uumner /pl ol (xfu/es <br />Idedical Gas <br />Other. <br />this application xnA knmv Ihe same lo bo imo and coRect. All provisions of laws and ordinances goveming <br />speciGed herein or not 1 he g�an�ing ol a permil does not p�esume Io give authority lo vioiale or cancel <br />Wlatinp conslmction or Ihe pedormance ol conslruction. Thal I am aulhorized 6y the ovmer ol this propeity <br />de an�1 I comply with Ihe Slale Conlractols Lew 1827 RC'^.' and 296200 W�C <br />�' ' 2 -, 1 <br />/ „ <br />,. <br />�J' �__ (Pev�setl7_201",1 <br />Datt� — <br />