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PERMIT APPLICATIAN <br />BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.ev Gettw � rg � <br />lo� neEv canshuction: Short <br />Owner _Owner'sAgent <br />rnx a <br />No._ (attach copy ot long legal description) <br />COOIf8Ci0f _COf11faC�OrS/�(JBOI _TCf1Bf1((mu5�proridoaleCerol[onsen�bomNeonnettoCoworkm��aspace) <br /># <br />NG PERMIT APPLICATION <br />Use of Building <br />PRICE OF WORK <br />Proposed Use of Building <br />Building type: �. Single Family _ Duplex _Townhouse _ Mulli-Family _ Commercial <br />Type of project New Addition Remodel Repair T.I. Sign __Sprinklei <br />DESCRIPTION OF WORK (additional space provided o�the Geck) : <br />� ����� ���� ����� <br />MECHANICAL PERMIT APPLIC.aTION � <br />of ProJocL• _Now,_Addn �Alteration _Ropair <br />Sliow Number (#) o/ �ixtures <br />� elC _ oir handlino unifs <br />� <br />Number <br />I/SL�.LitY Bus. Lic. # <br />�-43�s = �3 s <br />3s =7.3 s� <br />� , c� <br />HEAT SOURCE: <br />PLUMBING oERMIT APPLICATION <br />TypoofProJect: _Now_Addn _Alteration_Repalr <br />ShowNumber(p) o//ixtures <br />Other: <br />Other: <br />Gas <br />I hemby cetlify Ihal I have rea7 antl enamined Ihis applica:ion and know t�e same lo be tme antl wrmct. All provisions al laws and or�inances SoverN.ng Ihis lype ol work wf.l �e complied <br />wuh �xhether specilled herein cr nol. T�e 9raminy ol a Oe�^�t tloes not Fresume to give aut�ority to violate or cancel the provision e/ any ctner state or local law regulating consvuaion <br />That I am aut�onzea by I�e muner ol this pmperty to pedorm Ihe woM lor wnich application is made antl I comply wnh t�e Sta!e CoNractors Law 18 27 RCW anC 296200h'A'AC. <br />� � �� / <br />, �ul ��- / -`'j- , � <br />OwnorlAuth izod Agcnt Si�na�ure <br />Date (Revised 3R013) <br />, ... _. . ._.. . . _ _... .. . 6 . <br />