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� � <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBtNG/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />in _iD--t �F <br />ADDRESS: <br />PROPERTYTA%p <br />for new construcUon. Shod PlaUsuhdrvislon Lol No._ (atlach copy ol long legal desaiplion) <br />PhonelE�mail <br />i Q <br />OwOCf'SAtJC�I _CONfddOf _COOIfdClOf5A9CM _T¢�a�111mus�pmmEaaleecro�mnsen�Immmaaenarm0owcxmmespa:c) <br />ING PERMIT APPLICATION <br />Exis�ing Use ol Dmlding <br />ProposeA Use of Bmldmg <br />Building lype �ingie Famdy _ Duplex ,Townhouse _ Mutti-Family _ Commercial <br />Type o1 proicct New Addd�on _ Remodel _ Repair _ T.I Sign ._Spnnklei <br />DESCRIPTION OF WORK �andinonai snace n�ov den on me back/ <br />�N/qy)(r�G�c.� � %LU1/1/�/�'� , ADD <br />Statc Lm. # Cdy (3us lic. # <br />Phonc/Email <br />CONTACT FOR PERMIT <br />Phonel[�ma�l <br />CONTRACT PRICE OF WORK S�I.Y�Y�� <br />ti[AT SOURCE� <br />Ga5 [ICctnCQ� Olher,_ <br />MECHANICAL PERMIT APPLICATION <br />ol Project: �New_Adtln _Allcration _Repair <br />Show Numbcr (a) o/ liafures <br />NC — av handling unds <br />I Forced au svsicros <br />Othc <br />ollleads <br />[�1:1 <br />/fr� � l�1�P, <br />of Use <br />CHfH'1G,� � CUAi,�¢ <br />PLUMBING PERMIT APPLICATION <br />Type o� Projecl: _New _Addn _Al�cra�ion _Repalr <br />Shaw NumbcrlNl ol (Irfurcs <br />smk <br />washc� <br />I ountam <br />Medical Gas <br />Othcr <br />IhrrepycvtlJylhallhaec�en�an�craminr�lllnsapplcnlionnntlAnowlhe;a.netobr.�rucantl�nr�rd Allp�oi.v�nsWli.vsnntloi�.nan[csqovmmng�tn•.typcohva�kw�Ilbecompl�c0 <br />wiT w�elhel ryef 120 �l•rcif� cf nol Tl�c qLinhng ol a pemnl �oes noi Presumc l0 9�ve. ulAorily in odo•n nr om[al Ihu pmvr; on ol uny ntl�.er ;la•c or bcal lax �cpuCienq rnospuchon <br />I hat I am aulbonzetl �Y �M1 �vne� o �opetly lo pmbrm Ihe worA Ior whrctl NPPIrcOlion 6 ma�le aml l m�n��ly w�,t41lic :;IB'o CoidiarJma 1 nw tp ]) 1!CYl arrl l7G :�ln WA(; <br />/ <br />/ � �O � <br />Ow erlMdh od gen15 )nalure Oa�c pL�vised.1/J013) <br />