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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Fvered, WA 98201 425•257•8810 FAX 425-257-8857 www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S� I U " I� <br />ADDRE35: � � � � � - <br />PHOPERNTAI(p P � � � <br />I�I� <br />�L b� new conslruUion Shod P�aVsubdivision Lol No._ (attach copy ol long legel descnptlon) <br />ER ��„ i�. , �' 7. Phono/E�mail �� : � � 1.�.. l 7 �� � <br />— <. c . - <br />:s I �' - � . � CilYlState2lp i,�. �_ .�l , ' '['l `--� n -� � ` � , <br />� <br />.ICANT:_Owner�_Owner'sAgenl �ContracWr _Contractor'sAgecl _Tenanllm���v�orae.ieneiaoomernrtommao«�»rmao^�"^m.'c,;°� <br />fRACTOR � +, � L 8 I �ic. k ��— �� �- � , �= �� '� c < <� ` n COE Bus. Lic. p � , <br />� U� PhonelEmall ��. �� �- � � Z <br />� I � � <br />ICIVAI'1louomea.annn�.. 1._. �..- ...t <br />i <br />Phone/F�mad � ' � `'� � ` �'' l <br />T APPLICATION CONTRACT PRICE OF WORK �nt <br />BUILDING PERMI <br />Fxis�ing Use ol Building <br />Proposed Use ol Build�ng_ <br />. <br />�uilding type: �, Single Famity _ Duplez _Townhouse _ Multi�Femily _ Commemia <br />T e ol project New AdA tion Remodel Repair T.I. Siqn _ Sprmkle <br />DESCRIPTION OF WORK �add�ranoi spuce pw4�PcAon fno bacxl � <br />MECHANICAL PERMIT APPLICATION <br />7ypo ol P�oJoct: _Now _Addn �_Altoratlon _Ropalr <br />Show Number (N) o/ flxturee <br />NC - air handhng unds <br />— , Foreed au systems .- �y •� �_�- <br />I <br />PLUMBING PERMIT APPLICATION <br />ol ProJocl: _Now _Addn _Alleration _Rapalr <br />Medical <br />Other. <br />i Number of Heads <br />i��c�eo� rerury Ihal I naae re�] n�tl e•a�r�red mie nF[����nuon a�d hro�.v Re sarne �o Le Ime ena cerrect Atl 7���sroni o� lewf end orOmen<ee poveminp I�is lype ol work.nh be aempircd <br />n�.i� �n^m�e� �pealrod �e�e�,n.� �.�:� u`^ 1':""^^8 °I n Fennn noe� ��m prrsume �o 4��e nN�omy lo e�ciala cr anncel tne P'ovie'on a I any cmn alete a bul law repuielinp conswcLon <br />n�ai i mn o�.inio�nea Cy n�e on^r� �.� ��• s u�cceny iu pei�o�m ine xo���or nT�s epp��:nlion i� n+nJe ana I ce�+vb r��^ Ine Ste!e Comrecm�LL aw 1B P7 RCW anE P99:OOAN'AC <br />Ownor/Authodzod Agont Siqna�uro Uale <br />(Rewsed �012) <br />