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NERMIT APPLICATION
<br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION
<br /> CITY OF EVERETT PERMIT SER��ICES
<br /> 3200 Cedar St . Everetl, WA 98201 - 425-257 8810 - FAX 425-257-8857 -www everettwa ory
<br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM
<br /> SITE AUDRESS: ��,_ � � PROVER7Y TA%M �R T� . /"� J�,
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<br /> LEGAL I,n new constmcUon Shnrl Plnt/subArvisinn ���r� L 1_�� . I�� �,�L .I nt No ��i_ �i����ch r.opy ol long legal Aescription�
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<br /> BUILDING PERMIT APPLI(:ATION CONTRACT PRICE OF WORK_ —
<br /> F_r�shng Use ol Bwlding____ _�.�/_ �, _ . ._..__._----� —� —� —� HEAT SOURCF
<br /> PrcS�Uxed Use ol�utl�iin9�-�_1�/.��'�y��•11�_�..iL..11-ts-i1— , �Ts , Fle�lnc Olher
<br /> Elwldmg type �S�ngle Fam�ly __Uuple�_Townhouse _Mulh-Family __Commercial
<br /> Type ol pro�ect ��New _Addition _Remodel _Repav_T I _Sign__Spnnkler_DemalAion Change o�Use
<br /> Descr�phOn ol Work(eddrhonel ap»cepmvidedon fhe bncN1 ,�
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<br /> Have you s�arted workin9 wilhout a permil9 VFS 4 NO
<br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION
<br /> Typu ol Pro�oct _Now_AdAn _Alforetlon_Ropalr Typo al Pro�oct: _Now_Addn _Alloratlon_Ropalr
<br /> Show Number(NJ o//irfuree Show Number(N)ollixfurm
<br /> j NC - au handhn units Toilet
<br /> f=orced an s stems Bathtub
<br /> Gas pi in Lavator Iwash bas�n�
<br /> Water healer Shower
<br /> Gas fire lace I Kdchen sink &dis osal
<br /> Gas ran e � Dishwasher
<br /> Clothes dr er Clothes washer
<br /> � i Han e hood Waler healer
<br /> <� 6xhaust fan Smk(service/bar/mo letc �
<br /> Heat um Backllow revenler
<br /> Unit healef ' Urmal
<br /> Putler � Dnnk�n Fountain
<br /> Reln eration Floor dre�n
<br /> Woodstove Grease Ire
<br /> ' Ihn'.Unq Rooldrams
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<br /> ��i�,�,� � Medir,al Gas
<br /> SPRINKLER / SUPPRESSION SYSTEM olher _
<br /> rJ���,�n��� ni Hca�fs Olher
<br /> � r��•iotiy�en�ly u�,�i�nav�•ira�i n��d�",�in�nen inic nppi���.ahon anJ knn•,v ihe sainr lu he Vi�end mrtecl All prowamns ol lnws end ordinances govemin9
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<br /> m�•pimis�m o�nny n�hrr slale nr locnl L�w mgWnlmg conslruclmn o�Ihe peAormnnce o�consUuclion That I am aulhonzed Ay Ihe ownei ol lhis proper�y
<br /> i„p„�Inim ryi F wnrti I�a whirl�;�pph�:umn is mnde and I comply wOh Ihe Slale CoMractois Lnw 1B Y7 RG�V anc 798 200 WAC
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