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�ERMIT APPLICATIO� <br />BUILDINGIMECHANICAL/PLUMBINGISIGh/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />i�a�`�5 <br />:ADDRESS: VROPERNTAXN P�t MIT7t ,.A <br />'nAV r-� _ / /�I c�., (6iC7��'Y/ "�/1/V"(�i:�1i7TC1 ��1�5n�—( W�S <br />lor new conslrvcimn�. S�ort <br />f'[1.+ ('� <br />PhOn2/C-md�� <br />No._ (attach topy ol long leg�: descdption) <br />._Owner _OwnefsAgent �ontracmr _Con:ractor'sAgent _Tenant�m�,:o�o.�K�,i�^�roi��:��.io-�m�ow..�en�ao.:���,m�s�ace� <br />� �. <br />LDING PERMIT APPLICATION <br />Exlsting Use of Bwlding <br />uc n !/5 <br />;t <br />Bus Lic # <br />y�s fc � c ti,�-S � <br />civ �si�ca,�-�r.9 � rx <br />PRICE OF WORK <br />Proposed Use ol Buildmg c�a.n-�— � <br />BuJding type. �Sngle Family _ Duplez _Townhouse _ MuI1rFa.rily _ Commercial <br />Tvne ol oroiect. New Addition Remodel i� Repau T i. Sign _SPnnkle <br />T <br />ianae of Use <br />DESCRIPTION OF WORK (addinonaispaceprov�dedontneeack)�. O_.�(�, �, � r' � r'�1 ��'rlVl j-4...y�K01C <br />1�..� P��� n_-,���, <br />MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Typo ot Project: _New __Addn _Alteratian opair Typo ot Projoct: _Now _Addn _Alteratian _Ropair <br />ShowNumbcr M o/Iirfures ShawNumbcr N allixlures <br />AIC — air handlina unds I Tadet ___. <br />heater <br />SPRINKLERI <br />SYSTEM <br />sink <br />Medical Gas <br />Olher <br />I Ileteoy certdy that I Oave �eaC an0 eva:rvneE Itus ap01iG1Lon and knon ��e same lo Ur Vuc an0 rAireC nll provisions of laYs antl orGinanCes governing IMz Iqpe ol woik wi110e wmp' <br />wilh whethcr 50euGed herein or not The g�antin9 0l a Dermil does not o�csumc to grve aul�oMy Ia viola�e o� r�nttl Ne D�ovrsmn af any ol�cr stale oi local law rtgulalinq tansWdion <br />Thal l am autnonreG by ihe rnmcr ol tlis pmpeny to pe�lortn I�e worA ior wTich applrtauon is maCe ana I wmply wr,� Ihe Slate Coniranois Law 1827 RCW anU i96.700A WAC. <br />! , 1 . ;c_c � ' l� l� � � - 0�•8" � s <br />OwnerlAuthorized Agenl 5ignalure Da�e (Revi5e0 9�2014) <br />