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PERMIT APPLICATION <br />BUILQING/MECHANICAL/PLUMBING/SIGN/SPRILVKLERIDEMOLITION <br />CITY OF EVERETT PERMIT StRVICES <br />3200 Cedar SL, Everett, WA 98201 425-257-8610 FAX 4�5-257-8857 www.everettwa org <br />ADDRE <br />for new construclion� Short PlaVsu <br />� ' �. % . <br />-a7-� <br />RN TA%q PERMIT d <br />iMl�O$ -/ <br />Lot tJo._ (avach copy ot long legal tlescription) <br />ma�t 5..11— /1 ti� <br />n i i L,'� e d i—v\ '1/� �� IGtylSlatclZip �✓C�/CT I /f./Q �� Q 0 <br />_Ovmer _Owner's�qent �Cenirae�ar _Con(raclor'sA9mt _Tenan(�mus�o�cr�eaicnercice�semo-c„roc..�cri�eo.cnmmospernl <br />BUILDING PERMIT APPLICATION <br />Existing Use of Bwlding <br />Proposed Use of Bu�lding <br />Bwltling type: _ Single Famdy �Duplex _Tovmhouse _ <br />iype o( pro�ed New Addilion Remcdel Repaii <br />DESCRI PTION OF WORK iadm;ionai space p�o•+yev o� rre �ack� <br />MECHANICAL PERMIT APPLICATION <br />ofProJecl• _Now_Addn _ARoretlon_Repalr <br />Show Numbcr (N) o! /i+fures <br />NC – air handling umts <br />Forced av svslerns <br />r heater <br />Other <br />/ SUPPI <br />Number of <br /># .�����_LJ'j(�7/��ity Bus Lic. k <br />a'yi t� �t / / <br />�O �ahbne�Email �� S3`�J'.iJ � b <br />rI �0 ✓„`Rl�! ! J''�504.r�.sag w.a; �. <br />rnai� Y� C—�Ll S- <br />4CT PRICE OF WORK <br />HEATSOURCE�. <br />tdulti-Family _ Commerciai <br />T.I Sign ___Sprinkler _Gemolilion Change of Use <br />�A6�\ C14 b �i,P �n �J i"di /V$u� <br />/� �J <br />/ 1 �/ /1 �\`� <br />PLUMBING PERMIT APPLICATION <br />Typa ol Proiecl: _New _AAdn _Alterallon _Repair <br />K�tchen sink 8 <br />Sink <br />I Other <br />� Other <br />I f�ce0y cenr(y �na� I nave iea0 antl e.am�ned �Cis app5cilion antl krow t�e same to be ;rue and mrrecl. FII prorsens ol lar,s ond om�nanws 9ovem��ng �nis type al woiM w� I Oe mmpl�ed <br />wdn whei�er specdmC hereinpr ncl. 7ne 9�anting ot a pem8 aoes not O�esumu io g�ve au�hori;y �o vro!ate or cancei I�e pmwsi:n ol an7 omer swte er Icwi iuw regulaeng wnsimamn <br />Tna� I am au;�or�0 Oy ty�own�ol�s proper,�6 pertorm tne werk lor nn!ch appt�.cabon is maCe nnd i wmply with Ine StaL CONracicrs Law td 27 RC'N ar.d 205 2WA N;,C <br />p�a7��� i <br />(RpwsCO Y1013) <br />