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PERMIT APPLICATION <br />BUILDINGIMECHANIGAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />cons'vdion: Short <br />CITY OF EVERETT PERMIT SERVICES <br />Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM ! AM TO 1 PM <br />(enem com w w�o iaeei oesc�a�onl <br />J <br />CONTACT FOR PERMIT <br />M�chclo Cwr�5t�5eh 3bo• H54 •5 � a� <br />Plrone/E•meil �- G 1 �• C� <br />LDING PERMIT APPLICATION Con�cT PwcE oFwotac 2 73 �i' <br />ng Use ot Building n 1 HEAi SOURCR <br />ised Use of Building 1, �7 ���il 11 Q � � u� ��X Gss Eiectne Otner _ <br />ng rype: _ Singie Family ,� Duplez _Tovmhouse _ Multi-Family _ Commercial <br />of project: � New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Descnption ot Work (edCitionel spece pmvide0 on tne back) : <br />New v��es�d�Ytt�al Glup1eu <br />Haw you afarled workfng without a pertnit9 _YES �C NO <br />MECMANICAL PERMIT APPLICATION <br />TypaofProj�ct: �New_Addn _AlNntlon_Rep�ir <br />PERMIT <br />of Proj�cU �N�w_Addn _AlbnNon _R�p�ir <br />Medicel Gas <br />aner <br />� � Number ot Heads I I I �rtner: � <br />I here�y certAy Ihal I heve read and e�mineA t�is apPlication antl knowthe seme to ba Wa a'W coneci. All proviniona ol lexa and ordinances prnemirp <br />�his type ol work will be complied wit� whether specifieC herein or nol. 71�e g�snting o/ a pertoit does not presume lo qive euMwnty to violate or cencel <br />Ihe provision of eny olher slele or loufl lew reguleting construdian or Ihe pertormence of con6iructiort Thal I em aNhonzed 6y �he owcer of ihi[ p��' <br />to pertorm N �k br v.nicli acPliralion is made en0 I comply v.it� t�e Stele Ca�tredon Law 18.27 RCW aM 296200 WAC <br />��' 7' �� <br />�rlAul�orizetl ApeM Slgnrtun Date (Revised 7lt01 f/ <br />\� <br />