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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-88� 0 FAX 425-257-8857 �^nrn�.evereltv�a.org <br />lor ne�v constn.�cUen� Shcd <br />%O/cb�3 �10�'7 l�R. 5r <br />PROPEflN TAR q P F' JT�Y <br />IfI� COP�SZ%•GR%'O�'�'Cb ��� �Q <br />2=�(.fiN(�> Lol No� �_ (al�aeh copy of Icng le9al descnption) <br />_Owr.e� _OrrnerSAgeM �onlr,clor _ComracroisPgenl _7enaN����zi,n,aeoi�ce�c�w�:<<,u�o��;oc«r:riooa«�,a,��ro,�a�a� <br />�'� � <br />PERMIT APPLICATION <br />Existing Use of Bwlding <br />P�oposed Use of Builtlir <br />�-- <br />LiG. # <br /># — <br />ior�/E-ma�i /�'/_�j'rj/(O' �j'j% � /;��/G/ri//iv��/uG <br />ONTRACT PRICE OF WORK /�Oi � � <br />Guddmg lype: _ Sng!c F2mily +�Duplex _Townhouse __ PAuqi-Famity _ Cemmercial <br />Typa of prejecC Mew Adddion/ Remedel ReGair __ T I _ S�gn __Spr:nkier <br />DESCRIPTION OF WORK (adtl�ucna� spac_ rro: ced�On u e^�::1 <br />fjpD 22 k �7 CoiiE✓�'�i� � o <br />MECHANICAL PERMIT AFPLICATI(IN <br />of ProJecl: _New _Addn _A��cration _Ropair <br />Show Nurn6crlql olOxNres <br />SPRI <br />NC —air handling unds <br />Porced air systems <br />Gas piping <br />Watcn c�ater <br />Gas fireplace <br />Gas range <br />clotnes drycr <br />Rangehood <br />Exhaust fan <br />tieads <br />LI <br />HEATSOURCE�. <br />ef Us� <br />PLUMBING PERMIT APPLICATION <br />o(ProJect: _New_Addn _Alleretion_Repair <br />Show Num6cr (pJ of lixfurrs <br />I Toilet <br />Kilchen sink & <br />Dishwasher <br />Floor drain <br />Other <br />Other; <br />Gas <br />I �ereoy cemty mal I �ave read an0 e.amloetl �hi, aOF�':caimn and know ihe sar..e �o Ge ime and couecl All piovls;ons el lans anA orCinances govemin9 ��is ty0e olv:e;k wiJ be campAed <br />��i1� xpelher specdicd �erein or not Tne gr2Ning oi a pcim] Eoes nol presurt'.e lo grve a�P.a:ity lo violole o� cancel Ihe pm':ision ol any el�er s;ate or IOGaI law �egulaling ronstrudion <br />� �at I a autt ouxetl Oy me q�ner o111is prope�y to pertorm me nerk fer wl:kh appl¢alicn is ma�Je xntl I cemply wnq Ne Sla'e Cmtractars �a.v 19 27 RCW anE 296 2C-0A N'AC l� <br />/ � <br />�G . /L� � //�/ <br />Ow Ihori edAgenlSignaWre Dale (Rev�5ed3R013) <br />