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PERMIT APPLICATION s �i � �Ij <br />BUILDING/MECHANICAUPLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everelt, WA 98201 - 425-257-8810 — FAX 425-257-8857 — �wwi.evereltwa.org <br />APF+LICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: PNOPERTY TAIf p P�iRMI 1 <br />�.� �1y� �i s�- E��,�.H. � �IoS -D/� <br />lor new conelruction�. Shor1 <br />�� <br />/ c��n./�. <br />�� <br />Y. 6 <br />M�/s Pl��,�c� r(-nr-,zii i-�.,a„ <br />PERMIT APPLICATION <br />Ezis�ing Usa ol Bui�ding <br />Propased Use of Buildin <br />� <br />�� <br />slLlc.a <br />(etlech copy ol lonp lepal descnpl�on) <br />7sn - <br />S>/O <br />/ C-'gT�s'� rv - <br />�u p, n c.�/�s� <br />PHICE OF WORK <br />HEATSOURCE: <br />iilding type: � Single Family _ Duplex _To�Jnhouso _ Multi�Family _ Commercial <br />pe ol project: _ New ✓jddition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition Che� ot/ Uae <br />!SCfipti0� O( WOIk (edCdiona� spxce providod on Iho b,ck): �1' / ie /,`��vr rn��, J S ./ G <br />/ C.�K/�> �yw '� � �� <br />� il'� 0 C -h On . �/'..Gt�a� �t,� �y O --� 1•f' / (� � :Jc� .•� �f y � I <br />wa you elarted working wlihout a pe�lt7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />of ProJoct: _Now_Addn _Artoretlan _Ropelr <br />Show Numbei (NJ o/ li.furoe <br />—� A/C — air h2ndl�no units <br />PLUMBING PERMIT <br />ol ProJocl: _Now _Addn _Altenllon _Ropelr <br />Metllcal Gas <br />Olher: <br />1 hereUy carlRy Ihal I hava read anA ezamined this npplication and know Ihe eame lo be Iruo end wttecl All provieione ol lawa enA ordinem:e6 poveminp <br />Ihis typo ol work will be camplied with whother specilied herein or not The prantinp ol e permll does nol presumo to Jive euthonty lo vlolele ar cancel <br />Iho provislon ol nny othe� stnle or locel Inw iegulalinp construction or Ihe pedormenca ol canetiucllon. Thet I am eulhonzeA �y Ihe ownei ol Ihie propedy <br />lo perl�n tre work �or which appliCatlon is m�do anA I comply wilh!he Stele Conlracbre Lew 18.Y7 RCW end 298 200 WAC <br />.,.- r,' � / / <br />,_- r � s•.�_ <br />BorMuthorl:ad Agont Signeture <br />//l5 ?S�'CYt�� <br />%/ <br />�Revieetll/,'Ofi) . J <br />/L <br />