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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNlSPRINKLERlDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Iornewcanslruc0on Snirt <br />ER <br />�.� <br />Q ��o��2�a <br />I.ot No i (allach coOY ol long legal Eescripi�on� <br />Pnone�E�man �'i3.s-'/5N- <br />Owne� _ Owner's Agen� _ Comiacto� _ Comrador s Pgenl _ Tenan' �T,.i n�=.:re.+ rm� m�.,+«« n� m. ow,e� i, m.lcn �.n me sc•�u�i <br />�� <br />ILDING PERMIT APPLICATION <br />Existing U5e of Bwldmg <br />a I.GL [,G95.�P(r coeeus ��c a <br />PPonelEmail H7.5-293-585."l <br />TFORPERMIT �q�sk�allll@��'I'�o <br />,aa `li^'r <br />CT PRICE OF WORK M I AD�OOO. ao <br />I1EAT SOURCE� <br />ProposedUseolBuilding�1Nlf. ��M��`/ �oM(„ _ � <br />�- t <br />Bwldmg rype ZC Smgle Family _ Duplez _Townhouse _ Multi-Family _ Commercial <br />Type ol project � New Adtlilion Remotlel ____ Repair _ T I Sian SDrmklei <br />DESCRIPTION OF WORK �aao�!rona� space proviaea on me 6ac�i <br />RcPla�,t eK�s�,�.� .,�„nbler �l� new 1.5's+orY hon��. <br />MECHANICAL PERMIT APPLICATION <br />ype of Projecl: �New _AtlOn _Altcration _Repmr <br />CIOIhPS dry[ <br />Range hood <br />Evhaust lan <br />Hcat pum� <br />Uml heatcr <br />ol <br />of llse <br />PLUMBING PERMIT APPLICATI04 <br />ol ProjecC �New _AOan _AlleraJon _RCpalr <br />Show NumDer (a1 of Grlures <br />� � Toilel <br />7 13a�htub <br />sink 8 <br />washer <br />Medical Gas <br />I lieie�y ceitdy Itiall pave �ea0 ana e.TrninM I�iti aVDIKalion Hna Ynpw Ne same lo be We an0 Cnrtecl Rll provisi0ns ol bw5.^.n� orandncea povCmv�p Inis lype ol woh w9ibe [vn�0���4 <br />w@i MieRler spPULed �erMn or nol Tlle qrdnlinp ol d pMm�l EOPs not p�esum! to B��e aolllm:ty �o viOUle or cdn[cl Ue p�ov6mn ol any olha� slale or bcal law repuqlm0 �onSW[Iron <br />Thx� I am aull�onreU LY the iwmm ol ih�s pmpe�Y to pednm� I�e wore Im wfi¢� apV�caiion rs ma�e ana 1 comPM �"�h lim Siele Cnnnacirnc I aw 1 B 1i HC W nn� 79G :ODA WAC <br />/�� � I��FI�I� <br />Owner Authorizp ent Signalure D.•�e (Rrvisea 6R0f?I <br />`(� <br />