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PEi2MIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Sl., Everett, WA 98201 425-257-8810 FAX 425-257-8657 vNnv.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� -� �'� Z� <br />� �,�.liy)�)7i7 / <br />lornewconsiruction�. Short <br />� <br />t�� <br />No. � (altach wpy ol long Ieqal descnpllon) <br />�r <br />�Owner _Owner'sAgenl _Conlmctor _Coniractor'SAgent _Tewnt�m.,,sic��boek�m�oicon.emrto�,mao.nn�oeo���.,me.pa;e� <br />i, <br />c� <br />BUILDING PERMIT APPLICATION <br />�s� iT7 F . <br />PRICE OF WORK <br />Exisling Use otBuilding ��i�� I< I <br />Proposed Use af Building �S 1� C <br />3uilding lype: # Single Family _ Duplex _Te��mhocse _ Multi-Family _ Commercial <br />lype of projecP New Addition Remodel Repair T.I Sign Sprinklei <br />DESCRIPTION OF WORK (addrtrona� space provided on �he bacti)' <br />I/�� 1 � 1 1 <br />Il!"�/ NI�/Il C'lCll'li� �� L �l'l�'�1Y/��...� , %IC'\....' �U.'.l �(',JI <br />�����%1/�� /l��'��CY�=1 <br />MECHANICAL PERMIT APPLICATION <br />o1ProJecl: _New_Addn _Alterallon_Repair <br />Show Number (p) of Oxfums <br />Exhaust <br />of Heads <br /># <br />���.��� i >> u ��i��� <br />/ <br />PLUMBING PERMIT APPLICAT <br />ofProJect: _New_Adtln _Alteration_Repair <br />Show Num6er fkl alliYtures <br />Other: <br />Other: <br />Gas <br />i LciebV «�M that I �ow maJ llna c.aminua l�is ayplka�un anA know �ha somo Io Ge �me ana rrtc<t A'I pravlsone cl Imm una ordnencef qovemnB �h��s ypo o1naM1 �rA Ee compi�ed <br />...li r,tieiner speafad Oemin or nol. TOo Braminp al a pemnl doaf nal pmsume to BM1'e nu•,nonry m Jnlate or cnncel iho provisbn ol uny olber slate or local law iepulaiirp cons�mction <br />I �ul I am authonre0 by t�e cwner Ol lhb pmperty lo pertorm Iho woA for w�k� eppFcatron �is ma]e nntl I mnipq wl� iho Slate Conlmtlon Law 18 P RCIV ontl 298 200A N'AC. <br />/'� � / �"' — � �`, /� %� <br />OwneUAuthorized A9enl Sipna�ure � Dale (�e�ised W2o71) <br />�/L <br />