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aii <br />PERMIT APPLICATION <br />BUILDINGIfriECHANICAL/PLUMBING/SIGf+I/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PEkMIT SERVICES <br />3200 Cedar St , Everett, WA �8201 425-257-8810 FAX A25-257-8851 �^n�✓�v.everettwa.org <br />�-a.5-is <br />DRESS: <br />fcr new eonslrccbr,n'. Shorl PlaVsubarvs <br />_ C::n!,r _ _ G..v�er'S.17�nt <br />UILDING PERMIT APPLICATION <br />rv iax n <br />Lo; ;;o _(altach ccpy cl Icng le9al dcsuipLen) <br />Fhon=_IE-mail 4 y5 -7r37—l76� <br />CLnVdCiOf':Ag5f11 _lCntntlnusip�:.ae:m�uCca�ne•il•cne.ae�r^rm0�-+c+•...�.s1���^I <br />u� .. <br />mail <br />y�-fl�i�a,�e�s ��� �OI�(7 <br />4�- ��6�16� <br />6�-4'� �c�c� <br />. �s-i �1i,. �/ <br />PRICE OF VJORK <br />E%i5;inglJ50o(BCildiny__ no�i ovvn�.�.. <br />Prcposed Use of Building_ Gas� Etecinc_ Gmer_ <br />6o!Iding tynn �Single Family _ DuGIeY _Tvunhouse _,_ ��dulli-Fam�ly Cammercial <br />Type ol pie�ec� �de:v P.d��hon itemode� __ Repalr _ T'i S�.qn _Sprinkler Ce��cSbon_Chanqe ot Usc _ <br />DESCRIPTIONOFWORKiar.c�,;-ora�sr. r�rocaoonmeca-+1 �Q�PL�C� �XI`v77n((ti �5 �L(2/Vi�C-�i <br />Gv�T}f New (rR5 �tf/Lniii-cE �i,� SfFM� LaCA-77o, �°�Jd ,�/eu� �'S <br />P�oi ��-, <br />MECHANICAL PERMIT APPLICATION <br />of Project: __ Ne�+v _Addn _Alteration _Repair <br />Show Numbrr (aJ ol firfwes <br />NC - au handling units <br />I Forced air sys�erns <br />heater <br />Duciinq <br />Olher <br />I SUPPRESSION S <br />Nur,�,ber c( Heads <br />PLUMBING PERMIT APPLICATION <br />TypeolProjccC _New_Adda _Altcralion_Repair <br />$how NumbCr (.i o/ li�fures <br />u�sn��casncr <br />Clothes was <br />Watcn c�a�e <br />Sink (servir.c <br />BackCov+ prc <br />Urinal <br />Drinking Fou <br />Flootdrain <br />Greas�!rap <br />Roo(dreins <br />Aiedica� Gas <br />Olher <br />i neieby cet•fy Ihal I h�re mnJ ano eeam�ned Inis oppliwlicn antl V nuH I�e sam^ lo ba bue and correcL FC p:ovisions ol Is,•s and ab :ances govemirg �Ns type ol vmrk vu'i Oe compired <br />wilp wheiner :pen1l: i N•�e�� ar not. TOe 9ranling cl a pemd tloes nol pierme l0 9re auL�on:� lo vinb;e cr wncel Ih.^ provisien M any C1er sla'e or locat law regul iling mnslmclicn <br />Tnal I am aulhorize0 oy ihe o�«n^r cl Inis piope��710 peAorm Ine H�rM lor H�i:O apf�icatmn is made auJ I conpl� wiilt Ine $Idle Can!ra:l:is Law IB 27 ftCIV an7:55 ZWh'::AC <br />Owned horized AgenlSi9naWre �� �� (ReviseA3Q013J <br />