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PERMlT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/�EMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />320D Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — w�wv everet/lwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM b� �I � IZ <br />A��nt"i7�t sz��v <br />AL for new wns:rua�on� St+:rl PlallsuCOir.sicn_ <br />!ER � a�,SC (,C�P� LL <br />�s� /7�� S�Z/V/J �ST <br />TRACTOR ,�yVFR.A�CQUlZCL' <br />�s5 /.33� Sr�i/Ls/i't.Cs <br />ANT BUSINE55 NAME <br />ILDING PERMIT APPLICATION <br />PERTYTA%q I nut� li � <br />� <br />Lot No _ (atlach copy of Ivng I�gal Oescnpiion) <br />irJE�rt:ail �Z�� O't>� —CS J J� <br />Slat�lZip ��� �j I � <br />i u� a Zfv FZic L�G9C Z <br />PRICE OF WORK <br />3 <br />ng Use of Bui!dir.g ' <br />ised Use o( Building__ Gas_ Electnc_ O�her_ <br />ngtype: __SinoleFamily _Duplez_Town�ouse _Mul;i-Family _Commercial <br />of projecC _ New _ Addition _ Remodel _ Repair _ 7.1. _ Sign _Sprinkler _Demolition_Change ol Use <br />�i lion of Wafk (addrtional spaco Otivided on IAo Cack): <br />G�L6c.t T ��! a�G-v+s �-'�.�r�elL <br />r you started working without a permit7 __YES LNO <br />MECHANICAL PE RMIT APPLICATION <br />ofPro�ect: _New_AtlUn _Nleralion_Repalr <br />Snnw Number !p) o! lilfU/PS <br />—air handlina unAs <br />kioilcr <br />/ <br />Number al Head, <br />PLUMBING PERMITAPPLICATION <br />o1ProJect: _Naw_Adtln _Alteratlon_Repalr <br />Shbw NumEcrlpl ollirfuic5 <br />Medical Gas <br />Olher: <br />Othcr: <br />1 hereby u�rlily Ihai I haw read and eaamined l�is applifation . nd kno.v I�e sama to he Irue and correcl. All p�ovisions ol laws and ordiwncev 9waning <br />I�is rype of wo�k will be complieA vnt� whether speufied heceir, or nol. The granling ol a peimd dces nat D�esumc lo give ault�onty lo violate or �incel <br />Il�e provi5ion ol any oNer s�afe or local i regulating consiruciion or U+e pertormanre ol tenstmction. That I am aNhonzed by Ihe owner o( �hie prope� ry <br />lo peA � wotk lor wtii pDlic u made and py mlh Ihe State CoNractors Ww 1 B27 RC W anE 298 200 WAC <br />� ��l <br />Ownerl orized Agenl SI ura Date (RevisM 7lIOII) <br />