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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvnv.everetlwa.org <br />APPLICAiIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />#Of,IREaSS: L PROPE�i-AM,p. � g'FSFYdI,Td <br />/ �.t' � �. > G1 C i r��l. i ev. .. � ...,. ,r.. __ .. i ..... � <br />L lor neH wnstrvclion: Short <br />_ O.vner _ Ownefs A9enl <br />3 7�`' <br />tol No._ (atlach copy of long le9al Eescdplion) <br />u:ir�.fd <br />COf11fdC�01 _COI11fdCI0Y5A9ClII _7Clldfl�(musiproviCea@:<iclwnsemEom;�acwaerlotl�r.nln.�espoa� <br />'S.�j6 �PhonClEmad <br />DNTACT FOR PERMI7 <br />Li4ny T� �P i�� <br />ione/E-mail <br />COE <br />a�6 -•78b�r g z Z <br />4ny Wqt�P�C� ybl� <br />BUILDING PERMIT APPLICATION ICONTRACT PRICE OF WORK <br />Existing Use af 6vilding HEAT SOURCE: <br />Proposed Use Of Building Gas Electnc Other <br />Building type: � Single Family _ Duplex _Townhouse _ Multi•Family _ Commercial <br />Type of projecl: __ New _ Addilion � Remodel ___ Repair __ T.I. __ Sign Sprinkler Demolition Change ol Use <br />DESCRIPTION OF WORK (adoi��ona/ space provrded on Ihe back) : <br />.D�mo dLfi�e�i 9a�,2 <br />�I w <br />MECNANICAL PERMIT APpLICATION PLUMBING PERMIT APP CATION <br />'ype of ProJecL• _New _AOdn _Alteration _Repair Type ol Projecl: _New _Addn _Alteralion _Repair <br />Show Num6er (NJ of fixtures Show NumGei (#) of lix(u�es <br />e�c _ ��. �,��dr.,� ���a� � r_.�_. <br />Medical <br />Other: <br />I hereby cenrty Nal l �avo read an0 examNeO Nis applitalioo en0 know Iho anme lo Oe We and carted. NID���sione ot Wws anC oitlinances Ccvemrg Ihlv rype olwork vn0 bo mmp5ed <br />wfJi wfielher speU6ed �erein o� ncl. T�e B�aminp ol a permil Eoee no1 pmsume lo prve auNonry lo �iolale or <anccl Ne proNsian o( any eNer slale or Iorai hw repulatinp cansWcGon <br />T�al l am ausadeed by Ne axner ol Nis pmperP/ lo pertorm Na woik for w�ICA app4talbn if maCe and I compry w:h 1ho Staic CanUadon Law 1027 RCW antl 29@.200q WAC. <br />2 <br />OwnedAulhorized Aoent Signalun. a e <br />(Revised E/401 i) <br />