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PERMIT APPLICATION <br />BUILDlNGIMECHANICALIPLUMBING/SIGN/SPRINKLER/I�EMOLITlON <br />CITY OF EVERE7T PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 PAX 425-257-8857 vnvw.everettwa org <br />APPLI:'ATIONS ARE ACCEPTED FROM 8 AM TO 4 Ph7 <br />� <br />Imnewccnslrutlian: Short <br />� <br />ERTY TNf �l <br />z <br />�_o� No._ (allach copy of long 1=9a1 description) <br />Phonel6mail CN <br />- �`13 ( �nm f,'a.�'tPlulr�� <br />� V�t rv fd v l i " <br />L�CANT:]�Owner _Own^r'sAgenl __CurlfaUof _,Conita[lOf'SAgeni _,Tenantpe�apronooaiennicicemrni'ro�mac.rerhGeo�t�nttospacel <br />L 8 1 Lic. # <br />BUILDING PERMIT APPLICATION <br />Use of Bwlding <br />PRICE OF WORK <br />Proposed Use of Bu�lding � Gas <br />Building lype: Single Family � Duplex _Townheuse _ Mulli-Fam�ly _ Commercial <br />Type oF projecC � New _ Addition Remodel Repo.- _ T.1. _ Sign _Sprinkler _�er <br />DESCRIPTION OF WORK (adddional space prov�tled on �he �acF� : <br />� \ <br />,� 11.� ���-c LC��-. ciY� `�=�liQ'(/1�C�� �� <br />, � <br />MECHANiCAL PERMIT APPLICATION <br />oi Projece: _New _Addn _Altcralion _Repair <br />Show Number(d) olliMlu�cs <br />A!C _ air hanrilinn unitc <br />Wafef <br />Olher_ <br />/ SUPPRESSION SYSTE <br />Number of He <br />coE eus. Lic. n <br />HEAT SOURCE' <br />PLliM81NG PERMIT APPLICAiCON <br />of Projcct _New _Addn _Allcration _ftepair <br />Show Num6cr /Gl of !ixlulCs <br />washer <br />Foun�ain <br />Rccl dreins <br />Med�cal Gas <br />Other <br />O�her. <br />I heieby cerLty ihat I ha�a iead and c.am:nM I�u appl�,caP.on and knoai Ihe ume to be �rue and couecl Fil pmn:�ons ol lans anC orCinan<es goreming this type el work wi7 Ce mmphrd <br />�nih xnel�er specdmG nerein or nol. T�e granlin9 of a pertn:l �ees r.o� presumv Io 9ive a Wnorey Io via�ate cr �inccl L�e pw: i:lon of any eICM sla�e cr local trw re9ulaling ccnsirechon <br />T1iat I am au;�or¢cd Oy Ihe oeq9 I I�Is propetly lo peAortn It1e wo�k fo� nhich aDOliwtsn i; m»c anG I cc:�ipl� n:h Inc Statc Com:a:'ars La+i 18'.7 RC'.v oa7 a5G 2f.CA'd�AC. <br />% � <br />� v <br />n�,,.�.m����.�.� .,n e�a., . ���on�.n ' �ale lRemsed CJ.�07:1 <br />