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PERMII' APPLICATIOfV <br />BUILDlNGIMECHANICAL/PLUMBINGISIGN/SPRINKLER/Df=MOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.ever� a�rg r�, <br />APPLICATIONS ARE ACCEPTED FR0111 8 AM TO 4 PM <br />ADDRESS: � ��� � � V� � <br />/) <br />tt <br />PERIAIT # <br />C'lJi�Sz-� <br />for nevi cons�mction: Shod PlaUsubdivision Lot No._ (a�!ach copy of long legal description) <br />Owner OemefsAgenl LConlrac�or _ConiractorsAgent _Tenanlimo�io�o�ra3�ier.�rcrco:,:�mrrcmm�o»r.eriomwo�k��m�s;�:el <br />Fu <br />BUILDING PERMIT APPLICATIOtJ <br />Existing Use of Building <br />G <br />!/', �L81 <br />COE 6us. Lic. # <br />�r�2�1 �:� / �)�� S <br />cs:� <br />PRICE OF WORK � / G �� <br />SOURCE: <br />Proposed Use of Building �-- —' <br />Building type: Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project New _ Addilion _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />DESCRIPTION OF WORK (add�riona� space provided on me back): rrL� ��� �� LCGI L 1 L.l 6'�l L(, �t � � �� , J <br />1" <br />I�Su.�,i � ✓vd��l <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICAYION <br />of Projeck _New _Addn _AltoraUon _ftepair <br />ShowNunrbcr(N)o((ixfures _ <br />� <br />of ProJect: _New _Addn _Alteration _Repair <br />Show Number (fJ) cf /rxfums <br />Medical Gas <br />Other. <br />� � Number of Heatls — <br />1 hereby certily thal I have �ead and examined Ihis applicalian anG know Ihe same lo ba Irue antl cocect. All pmvisions ci lavrs and ordinances goveming Ihis type ol work will be compl�etl <br />v:;h v:ne!�er specificd herein or nol Tha 9raniing of a permil tloes not presume to give authority lo violate or wncei �Ae provision ol any other state or local law regulaling wnslruc(on <br />❑�:tl I nm aut�orizetl by ihe owner of lhis pmpetly to pedorm Iho work for whith eppiica�ion is matle and I comply wAh Iha Stale Contratlors law 1827 RCW and 296 200A WAC. <br />� <br />�!i'��/���/ '�/ —�`�� c �F� �? <br />��� <br />OwnodAuthfr ed Agent Signaturc <br />Dafc fRevl_r,�:. n0 ) <br />