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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLERID�MOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 w�vw.everettwa.org <br />APPLICATIONS ARE AGCEPTED FROM 6 ANI TO 4 PM � a-� ,��, <br />.......�..... . .., DNOPENTY TAX p . _ _ P�f�MIT • � -� i�" <br />new consGuctian-. Shorl <br />(attach coPY of lorg legal tlescnptio�) <br />�( 7 sOlJL�1/!� N/-J1v ' - ' <br />� OMnersFgenl �CoMractor _ConiractoYSAgenl Tenanl(muuwo�arnHam�seMxomNav.�mao.�mmeso.cet <br />. i i . -t' _., . e,�._ � lrT.�r Y�c cJTnl/C�TF.COE Bus. Lic. 1✓�iO�/ <br />Pnone/Email �y,�,� od /J - <br />lING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Use of 8uilding _ _ . — <br />Proposed Use of Building � — - -- -- <br />Building rype: �Single Family _ Duplex _Townhouse _ MWti-Family _ Commercial <br />Tvpe of projecC New Adddion _ Remodel � Repa'r T I Sian Sprinkler Demolition Change of Use <br />DESCRIPTION OF WORK (adaeiona�� p�o�ideaOn me oack): <br />/! /J <br />���� �,rP ��, �a i� <br />MECHANIGAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIO <br />7ype�lprojecl; _New_Addn _Alteration_Repair TypeolProJxt: _New_Addn _"�teration_Rapair <br />_. .. . ._. _.,.______ ShowNumberp)olfixfures <br />Gas <br />Other: <br />Number of Heads """' � <br />I �mc�y ceNry �na� � �avo read an0 examnmf IFis epptratbn nna knawtne same lo Ge Ima nnU wned. A1 pmvisrons ol laws anC ortlnances Boveming this rype ol r.oAwil De wmplea <br />w�tb wliclher spealmJ �erein or nol. TTo pranlmg ol a permtl Ooes not presume m grve eut�Mry 10 vrolate ar e�ncel t�e prorson ol any oNet sLita or bcal Ww reBulat�8 mnsW c0on <br />lhal I am auihon+ed �y Vio ovmer o/ � propaM �o perlortn Ine woA loe wliirr appFralion n ma0e ana I compy wnM1 Ne Slaia Canlradors Lew 1817 RCW anU PBB.YOOA WPC. <br />- ��. ,� ,D - -� <br />, <br />ONni�r/Aulhodzed Agonl Siqna uro Da�e (Rev�sed N20'2) <br />