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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Fverett, WP. 98201 - 425-257-8810 - FAX 425-257-8857 - www everettwa org <br />APPLICATIONS ARE ACCEPI'ED FROM B AM TO 4 PM � a-�-+ �- � 3 <br />PRJPFNTV TA% p P��tMIT 1 <br />ADDRESS: .,.. . . I.-.i w. ., r" �� . .. �.hC),'_ -UDr_. <br />Inr nrtw cnnslmr.lion Shntl �'��Vsuhtl�v�sion <br />e (i�� (�`U1� { <br />'t �; 9 i 1 11 ` ( 11 il <br />LDING PERMIT APPLICATION <br />I ol No <br />__ _. Vhono��-mail <br />` '� --- (;i�ylSla�cl/ip <br />I 8 I Lic # <br />�altach r.npy ol long Iegal tlrsuipi�on) <br />9 <br />v <br />;1 <br />X.' � �� I IPhonnlFinatl <br />^ rIL� � � <br />5 -� f :� <br />�— � �.' <br />�� _1- �����__. <br />C7 hunrenmii <br />/ 1 J � I %6 � � ii/ � �> <br />-niail �D� L L� j <br />E OF <br />Czishng Use �I Budd�ny . . . . . _ - -- --- -� - <br />Gas Clecfric __ Othc�_ _ <br />Proposed Use a113uildinq__ - ----� <br />Bwlding lypr � Single I'emdy _ Duplez __Townhouse _ MultbFamily __ Commerc�al <br />Type of pra�ecl _ New _, Addition _ Remodel _ Repeir _ T.I. _ Sign _Sprinkler _Demalilion_Change ol Use <br />Desenp�lon o( Work (nn7inon i space p�o✓idnd on Ihe beck) <br />� L � � � � � � ( � �l � �� V'i �,��� / �C ( _ � � 1 � ti" �' � i� C�— <br />. <br />Have you vtaAeA working withoul a p mit7 _YES !-- hla <br />MECHANICAL PERMIT APPIICATION PLUMBING PERMIT APPLICATION <br />Typo ot Prn�ect Now __Addn __ Allcralion .. .Rrpalr <br />Show Number fM) ol li. fwes <br />ar <br />- WooAstove <br />-- � �- �---�iu��i�nn - <br />-- _ __ <br />-- - --- <br />n�rn,�-- <br />SPRINKLER I SUPPRE: <br />N�.:nil <br />� � �..:.,�, <br />of Pro�acl' __Now __ Addn __Artmalbn._Rapalr <br />ShowNum6e�(M/ollivfurrs __ <br />---- — loJet <br />Hatliiub <br />unna� <br />-- Di�nking Fou <br />� iooi drain <br />Grease trep <br />— Roof draine <br />Medical Gas <br />Other <br />Other <br />< ' <br />i„�,,,,��y ,,,n,�y p,,n i h;,ve iead and uaamined Ihis eppllcetion and Mnow Ihe sumn lo b� truo a�d correcl Ail provisiann ol lnws end mdiiwnces govrrnmq <br />u,s !ype o� wmk w�u pe r.umpiien w whelhYr Sponfied hereln o� nn1 the granling ol e pe�mn eoes not presmne lo pive aulhonry la vlolale or cancei <br />n�,• piuvisim� 0� �Y olh�r slnte or lo I Inw iey�aling cr,natmclion or Ihe peAormence ol conslmctlon Thal I em aulhanted by Ihe ovmer ol lhis piop�•ity <br />1,� pe�lolm�tl�r, wo�N Im, Inch npPlicali is mnd a I comply Ih Ih Sia�rl�.:t�ors I.xw iB 27 RCW end 19ti 70U WAC <br />� � � �� (HPviSP�:nn1n <br />I 1 � <br />