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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Ce�ar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 1 PM <br />ADDRE55: PROVFRTYTAMN PERMI7R <br />i�%. i� 3/� S/ r/_ \ �' c'1 i <br />lo. new coaslmelmn ShoH Plet/suAArvimon <br />IER M C,l� a M�' »� G- <br />,zs I I 2 /i .3.i� 5 i 51' <br />�I � <br />TRACTOR �"n�� � � TG'�»n��I v � t�-, <br />•zs I�Bo? r�G '��1�� �'/�- <br />ANT BUSINESS NAME I <br />Z��. ��� �� � �3� <br />ILDING PERMIT APPLICATION <br />l.ol No <br />1'hanc�Fmnil <br />f.�lyl5latMlip <br />�atu� a f. <br />���k'I� <br />CONTACT FI <br />Phoreq �mad <br />(otlach capY o/ long legnl Ocscnplionl <br />F�.,�( �J � 9 P L o S <br />�n�-�� GT� 9/ 6 k'1 <br />InhonerF.nial I � � V, —'� / I � <br />�z��T�'�9- `fI(� <br />PRICE OF WORK <br />we;liny Usc ol Buildm9 _��, ,. �`� . HEAT SOURCE _ <br />�� ���� � _ :�_.�__- _ <br />� ' rati % Eleclm: O�hin_ <br />inposed Use nl f3U�lding. _ _ . ._ _ . _ _. _ _ . ... _ _ .. _ . - <br />wldmq lype� �/ Sinylr. Fnmily _ Uu(der _Townhouse _ MuIU-F�nnIV __. Cnmmcrr.ial <br />YPe ol projecL __ ... New .__ Addillon _ Remodel __ Repav _ TJ. _ S�gn Sprnikler ... Demoh�ion__._Chanqe nl Use <br />escrq��ion o� Wak (qdA�bonql sp,ira P��i�����•�/ on Ihn ba� k� <br />) � � <br />1 (1��-l�� ��4rl�,�i�5 > �,U�% �F< ��'(,���L <br />, <br />ave you slnrted workfng without e permil7 _VES �NO <br />MECHANICAL PERMIT APPLICATION PLUMBIN(i PERMIT APPLICATION <br />ol Pro�ecl' _ Now _Addn �Allerellon __ Rnpalr <br />Show Number (M� of li�h�rc� _ _ <br />NC - au hTndling uni�s <br />Forced pir cystems <br />Boiler <br />IiaiA <br />�I lan <br />nl H✓adc <br />M <br />ol Pro�nct: _New _Addo _Albntlon _Repalr <br />Shnw Number (NI ol �rture� <br />washr�r <br />Arqin <br />Medical Ges <br />Olher <br />.�.n•I�/ [v�idy Oi;ll I IcrvY n•Bd tlnd e�:InL11Nd Ih�t tlPPhr:tlwn invl kiWW Ihp SInIY. IO M! INP. fl11A LOPMII All ��OViS1U115 UI18V5 fl�lA INdiO80f.C5 AOVWniO�J <br />� IYIK' ni w�d M+II Oc � omylirzA w9h wfinlhor spenheA herrm nr nal ihe grnnimg nl a pmmn Aces not prosume �o plve eulnmty In vidaln a c»nrel <br />�- urovis�on a� eny oihar stuln ur locul Itiw iegululing umstrucbon ur the pedu�ma�co ul caislrurAion. Tl�xl I em authaized by Ihe ma�er o11Ms proper�y <br />i����dnrtn the w�rh Irn whir.h xp��lir.nlm� is mn�te nml I cnmply �Ih Ihe Sla�e Conlradrns Lnw 1921 RCW and 29fi1110 WAC <br />,� �1—_ � ' ( <br />—'`— <br />Il.n • IRevn;��J 7 7nI I i <br />OwncrlA�i�hnn�rd �. rnt Sly� turr <br />