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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLiTION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8610 - FAX 425-257-8857 - www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �(� L^ ` I� <br />,—rl S i ,51= <br />larnewconslruction. Snort <br />SC�V�II <br />c <br />BUILDING PERMIT APPLICATION <br />Use at �wlding <br />I Lic M <br />,, qp; z I 3 <br />P RMIT R <br />ou �� �.�; I I r.0 —'c� � <br />_(allach copy ol long legnl descriplion) <br />yzs� b�o - 7z�i 7 <br />E' U C rY Ff C,J (� cl � <br />)a�,�vDc�.951KG� <br />onelEmail �/1f•�7C 7.2'/) <br />M��tr- L�ec �< `/zs 4?,c <br />PRICE OF WORK � ��, OOG <br />HEATSOURCE: <br />iposed Use of Duilding �� �" �l I Ges Electric� Other__ <br />Iding lype�. � Single Fam11y _ Duplex _Townhouse _ Multi�Family _ Commercial <br />�e ol projecL _ New _ Addllion � Remodel _ Repair _ TJ. _ Sign _Sprinkler _Demoldion Chenga of Use <br />5crip�i0nolWork(add�bonelspacep�ovrAodonlhebacF): R�P�/�[C R•��3o�bT 411.ut 11Ge<1tc�� %�Cu (Za�E <br />Ntu �';nyl S,d�^y� (`��u u.�de��>, New VAPur Q�qrr�er in CfPul SPArL <br />you slarted working without a pennil7 �YES _NO <br />MECHANICAL PERMIT APPLICATION <br />ol Pro�ocl: _Now _Addn <br />�: <br />F3otler <br />�,Altorallon _Ropnlr <br />ofl/xfu�ae <br />air handling umis <br />I air svslems <br />RESSION <br />Number ol Hcads <br />PLUMBING PERMIT APPLICATION <br />olPro�ecl: _Now_Addn �Alteratlon_Rrpalr <br />Show Number !Ml olll+furea <br />Medical Gzs <br />Other <br />Olher <br />I he�eUy cmhly Ihal I have �e,�d nnd e�. nuneJ Ih�s . ppi�cauon and Mnow Ine snma lo bo Imo end correct All provisions ol laws and ord�nances goveming <br />Ihis lypa ol work wdl be complieA wdh Mhell�er specdied herein or nol l lio granlin{ ol a peimit does not pre6ume to grve aWM1orily to violale or cancel <br />Ihe pmvision ol nny o�hm stale or local law regulating cons�rucllon or pio podonnnnce ol constructlon. Thel I em eulhorired by Ine owner ol Ihis property <br />ic pedomi the work lor wl�ich apywcaliun Is mado anA I comply wiVi Ihe Slxte Conlrectors I.aw 1B 27 RCW anA 298 Y00 W�C <br />, �.�� ' L/- t! 1 G <br />OwnorlAu�horizad /lymd Slgnaluro Ualc iRevr5e77�1011J <br />