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PERM=T APPLICATION <br />BUILDINGIMECHANICALIF'LUIVIEING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVEP.ETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTF.D FROM 6 AM TO 4 PM �� <br />ADDRESS: �a2� IA�•�ii F-�JE � PROPERTYTAXiI PER //j/.)� r <br />6039ti9m���m C/ <br />for new canslmclion: Shod PlaVsubdivision Lot No._ (altach copy ol lonr� le9al descriplion) <br />, �c�Se'1�ra o- �' l�ul��-+ �A�-��— . Phenel[-mail <br />SA,-�f <br />Z�Nt�e ��,nEs <br />211TF1 AJC SC � om�s� <br />LDING PERMIT APPLICATION <br />cnyismi�rz�P EVEo.�-rr vJA 9 8Zo�1 <br />L& I Lic. #!2 VI.IETZH� L�I �I�'S P� <br />�(�Zl�(� PhonelEmail ���.5�,7_g•07SZ I <br />CONTACT FOR PERMIT <br />Phnnn/F-mail LOII'fTLIa/_TOQ <br />PRICE OF WORK ��'� <br />6xisting Use ot �uilding Sf2 HEAT SOURCE: _ <br />Proposed Use of Building SF�Z Gas Eledric_� Olher_ <br />Building type: � Single Family _ Duplex _Townhouse _ Mulli-Family _ Commercial <br />l�ype of project: _ New _ Addition 7� Remodel X Repair _ T.I. _ Sign _Sprinkler __Demolition_Change of Use <br />Description o( Work (addilional spaco provided on tho back): ���;���_ Nt.y,� t� ���a�M ,�. �ur,na�l /�.,�sc'�' �� � 7""�'-�- <br />Eu�sTitia.. �RCN.:u + 2cPn�� (Lc..F <br />you started work(ng without a permit7 _YES �NO <br />MECHANICAL PERMIT APPLICATION <br />ofProJoct: �New_AdJn _ <br />Show Number (N) o/ <br />I n/r—air <br />heater <br />Gas <br />SPRINKLER I SUPP <br />_Repair <br />ION SYSTEM <br />� <br />� <br />PLUMBING PERMIT APPLICATION <br />of ProJecl: �,Naw _Addn (j_Altoration _Ropair <br />Show Nurtibcr (N) o/ lixfures <br />n�nanoti, <br />tdedical Gas <br />Other: <br />I hereby c=hity that I have read and eaamined �his applica�ion and know Q�e same lo he Ime and wrrect. All provisions of laws and ordinances goveming <br />this type of work viill be complied wi�h whelher sp�cifed h2rein or noL The granting ol a permil does not presume to �ive authority lo violate or cancel <br />ihe provision of any nlher stale or local law regulaiine� conslruc�ion or Ihe peAormance ol construc;ioa Tha� I am authorized by ihe ownet ot Ihis propetly <br />to perfonn Ihe �vork lor which apptication is made and I compty wilh �he Stale Conlractors Law 1827 RCW and 296200 WAC i/� <br />�/ <br />_��— �"J f Z J`I � I � <br />OwnedAu[horized Apen[ SlgnaWro Date (RevisedZ2071) <br />