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PERMIT APPLICATi��V <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 58201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE P.CCE?TED FROM 8 AM TO 4 PM <br />�n <br />lor new canslruction: Short <br />� <br />L �' v <br />7AX p <br />tt <br />No._ (attach copy ol long legal description) <br />�� 6ok-g39-�93 �rm; <br />o .�U,Yr'�Lt , ��. V—f N � <br />Owner _OwnefsAgen� _Contraclor _Con�racloYSAgen� _TenaMlmusip�o�naoaier«c�co�semacmmew�er.om.c:x�,amospawl <br />'iC� V�9. IL & I Lic. # <br />LDING PERMIT APPLICATION <br />Existing Use of Building <br />PRICE OF WORK <br />HEAT SOURCE: <br />Proposed Use of Building_ � cas_X <br />Building type: Single Family � Duplez _Townhouse _ Multi-Family _ Commercial <br />Type of projecl: � New Addition Remodel Repair _ T.I. _ Sign _Sprinkler _Demc <br />DESCRIPTION OF WORK /admhona�spacep�ovidedon me back): <br />`�� , . <br />��� � � ���� �� <br />MECHANICAL PERMIT APPLICATION <br />of Projocl: _New _Addn _Alloretion _Ropair <br />Show Number(d) ol lixfures <br />Gas <br />hood <br />Number of Heads <br /># <br />of <br />PLUh761NG PERMIT APPLICATION <br />Typo of ProjecL• _New _Addn _Alteratlon _ftopair <br />Show Number (#) o! lizfures <br />Kdchen <br />Other: <br />s wasner <br />heater <br />basin <br />I hemby cetlity Ihai I h�vr read enC e.amme0lhis applitaLon and know the same lo �e Ime antl wrteq. All Dro�isions ol laws and rdiwnces goveming Ihis ;ype al N�ork vnll be camp'�ed <br />willl wfielher sp�cdmC �emin or not. Tlie graNing ol a permn Coes not presumE la give aulnori;y to v:olale et wncel Ine pmvislun ol any otner 5W1e er louil law regubl'mg wnslruclion <br />ma� i am �mno�izea oy e oaner al I�is pmperty lo petlortn I�e work lor whicn appliwtion is matlo and I ccmply �vnr (�a Slale Canlmdo�s L.nv I0 77 ftCVI anJ 295 2COA V.'�C <br />/ % <br />OwnedA(U ize A ontSignaluro Dafe (Revisedfi/Zo12) <br />// <br />