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PERMIT APPLICATION <br />BUILDINGIMECHANIC�4LIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vnvw.everettwa.org <br />�_�-lS <br />� <br />br new co. slruCtion� Sho« PIaV: <br />� �r i � / r1/ .��-f L <br />�l <br />TA% N <br />No. (aUacn mpy of long legal tlescnpiion) <br />�� t,i ) � - '� �I � - �--1 � 2� 2- <br />✓O�,cner _Cv�ner'iFgent _Conlractor _CeniractoisAcent _Tenamlm�:ip��r:���oai�.ne�ci:c�;ocecn��-.ov�nenoc,.c.,,�.•,,,,;,,c�� <br />BUILDING PERMIT APPLICATION <br />Use of Budtling <br />j Use of Duldir <br />Lic # <br />Phoce�Emad <br />'ACT FOR PERMIT <br />E-mad <br />�RACT PRICE OF WORK <br />Bus Lic a <br />� <br />2CE <br />Other <br />id�ng type _ Smgle Family � Duplex _Ta�.vnhouse _ hdul6-Famd/ _ Co�nm=raal <br />�e o( proled� New Adddion Remodel Repair __ TJ. Sign __ Sprinklzr _DemoliLon Change oi Use <br />iSCRIPTION OF WORK �aCCincnal spa� p�ont^d �n;, e t�actl ^ �p q� m �i1� <br />C.r?��C�l<J�— -�-�`� �,U`�-��-^– �,�_. �'i� ='�' <br />�� � /y 4�� i� r R;9 z <br />%�, �'� �'n M .+"CJ � r� o <br />�vl I V' Z <br />`/ `- �n <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT A LICAT�N__ <br />of Project: _Now _Addn _Alteration __Ropair <br />S�ow Nunrber (N) o/ /ixturcs <br />A'C — air handhng umis <br />� ForCeA air Systems <br />i I Gas pipmg <br />L/ ; Water hearer <br />I Gas (ireplace <br />�a�range <br />� Clolhes dryer <br />Rangc hood <br />Exnaustfan <br />� Neat pump <br />Unit heater � <br />Fioder <br />� Refrigeration <br />� Waodslove <br />Duchng <br />� Other <br />SPRINKI.ER / SUPPRESSION SYS' <br />Num6=r o( Heatls <br />ol Project: _New _Addn _Alteration _Repair <br />Show Numberla/ ul lirfures <br />Ois��.vasher <br />Urinai <br />M=dical Gas <br />olhc�: <br />Othec <br />I herec.:eMy ��ai I �ave ieatl antl e�amineE ;O�s appi,w;ien and :now t�e s�me �o Oe Ime antl co�recl. dil provis�ens ol �ans ana omn�nnces qm�em�ng ims typ^ ol work x�il �e comp!ie� <br />wnn w,�e:ner speche0 nete�,n o� rol T�e grarlin3 ct u FermA Coes ool presume lo aiYe au!npnty to riola:e cr cancel Ihe pmvision of any cl�cr stale cr Iccal law re5uliting censlmcliJn <br />T�iat I am au'norizea by ine oxner cl f��ly proi eny lo peiiorm I�e wer� lor wnic� applicxlion Is maae anG I wmply »n� ihe Sia'e Cortra��a Law IB 27 RCVJ an� 296 20Dn'A'AC. <br />�1.�?-�'--�Ql�-- C�r`�19 � � 1 � <br />Owncr/Authorized Ay nt Siyna uro j� Da e (Remsed 3r013) <br />V <br />