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s <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Evereri, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />G, � I S? — I �( <br />ADDRESS: <br />( 5n _2 SD �'^ sT '- <br />�L lor new conslruction: Shotl F <br />ER CNlKJ (�c>QCt:f�20 <br />;s I�,n2 �-i)T� S� <br />rnx a <br />ol No._ (allach capy ot long legal descriplion) <br />�,-+ . �..� , 9 s z�3 <br />�Owner'sAgenf _CoNractor _Conlracmr'sAgenl _Tenanitm.��avro.:ao�i�n�roico�:emtr�minaa.nermeowoammaspar.o� <br />,ve r <br />NG PERMIT APPLICATION <br />Use of Budding <br />Lic. # <br />PRICE OF WORK <br />�sed Use of Building L <br />ng type�. � Single Famdy _ Duplex _Townhouse _ Mulli-Family _, Commercial <br />o( pro�ect: Nev✓ Adddion Remudel __ Repav ___ T.I. _ Sign _Sprinkle <br />�RIPTION OF WORK /adddional space p�oviAed on (he backJ �. <br />MECHANICAL PERMIT APPLiCAT10N <br />of Projecl: _New __Atldn _Alteration _Repair <br />Show Numbc�(MJ ollixfures <br />A/C — air handling umis <br />healcr <br />Lic. # <br />T SOURCE: <br />PLUMBING PERMIT APPLICATION <br />of Project: _�ew _,Addn _Alteration _Repair <br />ShowNum6cr(p)o/lirfures _ <br />in <br />Medic�l Gas <br />Other. <br />� � NumberolHeads II � �'"t`- J <br />I hemt�y cenAy i�at I Ir�vc reatl an� e�aminetl ihie: apphcafon antl Ynovi Ihe ;�nne iu be Ime :md cmicct. NI provision; ol la�is and ortlinance; yovemrn9 lhis lype ol wnrk will be comp!ieU <br />vni� viheibet specilied herein or not tlre qranimq ol a peimtl �oe; not p�esume lo grve avmor�ly lo v�oiaie ui cancel �he provr.ion of any ct�er :iale ar local law �equ�alin� mnsimclion <br />IOaI I am au0io�iz •d 1 ovmM ul itu; property lo pertoim Ihe vipd. fo� vrtucli appiiwlmn rs maae an� I�omply wnn ihe Slale Canuacto�e Lav: IP 27 RGW an�1 79G "1.00A WAC <br />� ���� �L� <br />OwnedA onzedAgentSiyn�tmc Date (Rev�seJL2o17) <br />