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Fe� il 20iS iQ:29A��� <br />� <br />• <br />�ii�. ;;41 h'. , <br />PERMIT APPLICATION <br />BUILDING/MECHANICALlPLUMBINGlSIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everett, WA 98201 - 425-257-8810 - FAX 425-Z57-8857 - v�nvw,evcreriwa org <br />5� I APPLICATIONS ARE ACCEPTED FROM 8 AM TO d PM �—�i —� <br />I�T.[yADU�RE 5: vqOPERTYTAXC pERMITu <br />�?rG� '�n,.� � �,r YV� i Un �../`,Ci <br />k� r.ew w�+:Uuci�arc S�on <br />L 8 1 Lic. a <br />F� <br />BUILDING PERMIT AppLICATION <br />I��CaC+ccp� ol iaig <br />; 3•-r 7 � <br />�r- <br />��� h�� <br />� � <br />T PRICE OF WORK� _ <br />�g Use o� 6u�ltl�ng H[AT SCURCE <br />);fa U5C Gf Bd�ltlmp <br />Gas � EICc1n:_ Olher <br />na ��pe ,�' Singie Famiiy _ Duplex __Townhouse _ Muili•Famdy _ Commertial <br />o� p�o;ect _ New _ Adtlltior _ Remodei _ Repair _ 7J _ Sign _Sprinkler _�emolroan_Cnange of lJso <br />nphon ot W ork (eaemena� snace p�enaM oa fhe beck) . <br />� you stunxd working without a pormlt? _YES _NO <br />MECMANICAL PERMIT OPPLICATION <br />dProjoct: _New_Addn �l��r�tio��_Rcpoir <br />SOow NumArr (p) ol /liry��,q <br />I A/C - �? tld�dli„p untl5 <br />� FOfLB(1 dlt SV5(qR16 <br />Wa�Cr <br />/ <br />iil <br />PLUMBING PERMIT APrLICATION <br />TyD� ol PfoJi�<L• _N�nv _AtlAn _Alh�ral�on _R�PO�r <br />S�ow Numberlq ol (xN�es <br />Shnwer <br />Watn� <br />MM�CJI GOS <br />Other <br />I hOrOby Cor�ty thdt I �ovo mad antl eNmmed Itl�s App!�CAlron 9nJ Nrqx Ihe SamP. Io h8 W2 and [dte[l NI prov�Nons C} iaws and orEinnn�+s go+emint� <br />N�SIyDe ol Nork �li bo comW�ed w�m �.ne�.nAr scea�,ea �em�� v �et. TT,e qrantmg o� a C�it tloc; not presume lo p�ve a�tnor�;y to v�oiaro or cancei <br />Ne pro+iaion ol any oNer s�iie or laal iaw ropWaWO wnsvua�on a� tno oedomw�cc o� rnnsvuabon. Thne 1 am autlionmd oy the ov.ner ol th,s pwoerty <br />lo perlorm me �ort tor wni�n apphca�on i5 made , nd I compy N7M Il�e Stme Conlre:mrs lmv lB 27 RCW anE Z96 z00 w�C <br />f , ) S � . .. �'�',...-�, a • a �°`a-o� � <br />Ownrr�potnon:etlAgenl5lpnature � oam �Rev�snea20t�� <br />