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PERMIT APPLICATION <br />BUlLDINGIMECHANICAL/�LUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everelt, WA 98201 425-257-88'0 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM "�- "� Z <br />ADDRESS: PROPERTVTA%p ?E ITN <br />_.., , __ e ._ i aoG-r,� <br />newconsiroction: Short <br />No._ (altach wpy oi long legal descnption) <br />�� l� {'� ! f � d f ��nYm�a�eiuV C JC C Q\ I w 1 T <br />_Ormer _Owner'sA9ent _Contractor �Contrac�ofSAgen� Tenanl(musimorbeeknralcomenlhonLMa�a'oaoeoAMme�pece7 <br />BILic.# <br />PERMIT APPLICATION <br />PRICE OF WORK <br />ng Use of Building <br />�sed Use of Building -- . <br />ng type: �y Single Family _ Duplex _Townhouse _ Mulli-Family _ Commercial <br />ofprojecf New Addition �Remodel Repair__T.I. Sign_Sprinkler <br />CRIPTION OF WORK (additionol space pioriCetl on �he bazd): (� <br />�i f... �� . �/n, 5l �'vn.,.r r. l�' N �A.I' —4v r T�< : <br />�.,.�,,.� ��.., •�a� �..,� ,.-, �-��, r�,,,.�. + st.�.�.,.� <br />MECHANICAL PERMIT APPLICATION <br />ofProJect: _New_Adtln _AlleroUon_Repalr <br />heater <br />Woodstove <br />EJ <br />/h �5C .�'�Cc�.c.ma., I <br />'� • t �.rC v/M�•�.C! <br />PIUMBING PERMIT APPLICATI <br />ProJect: LNew_Addn _Alleretion_Repalr <br />Shaw NumEer (p o! /Lrfurcs <br />Olhec <br />1 f.ere�Y �eMy Ihat 1 hovo metl und eaaminetl Nis applicn�ron ona Anav Ilio same �o Ca Imo antl cortecl. All prm�isioro ol Wws end omaances BovemnB ��'�� NPo olwo�k w�� Oo complleC <br />wr.n �qmtlrer spetifM7 �ertin or naL T�a BrantinB ol n pe'mit dom nat prcs�mo lo Bko nuNonry lo Nol,ile or cnncel t�a pmnsbn ol any oNer slate or locol law rcpu�allnB �onsW ction <br />t i��l I am nu'hotlzed Ey Ihe amer ol Ihie pmperly lo peNoim t�o woA lo. rv�k� appticntion ie made and I compq wih Ibo Slale ConVactan Lew 1 B2] RCW an0 29B i00A WAC. <br />-,�,�,�c%� c"-�.4.. 9 � Z� f, z <br />OwncrlAuthotlzed Agenl5l�naturc Date <br />(Revised N2012) <br />