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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St . Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everett�va.org � Z <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �" � 9 y <br />AAdIC55 <br />� <br />��r c� �� <br />br nCw conslruclmn Shorl Plal/su�dNismn <br />��� CJ11'i��vcllcN <br />!'t,h �"l�"�� � _— <br />i"' ,.1 i����,7:d� � loU i':- <br />BUILDING PERMIT APPLICATION <br />[aisting Use ol f3uJdmg <br />p-c�C�Z-c�12-C,�� �L��U��_. <br />No I�Itach copy ol lo�g legal aescnpbonl <br />-- rnooe�e mmi K�•.5 N 7� 7�17`I ��re,it:; L' <br />GiIYlStatelLp�/i�� �-i��'�l� L�R ��� <br />L81Lic# �'�1 �U�1�%� �A <br />Phonc�Lini�l <br />CONTACT FOR � RMIT "ff���A <br />%:, '� F' <br />��,o„�,�_.��„�� o �03 �o <br />CONTRACT PRICE OF WORK <br />r�+'�.c.:rh <br />.` <br />Proposed Use ol f3wld�ng , ,1 f-- - � - � - <br />Bwldmg rype � Single Family Duplex Townhouse _ MuIt��Family _ Commeraal <br />Type ol pro�edT� New _ Addit�on _ Remodel _ Repav _ T I _ Sign _Sprmkler _DemoDuon_Cr,ange ol Use <br />Descriphon ol WorH ianl bo��ni snn�e prov�tleJ c��� u�o har_w i <br />�t-'�ILI � iv� '-�� i � ��"S ��'iJ"tiE <br />lknw'd du�fc� y�'b � c=Ki:�<[ <br />a-Ft(n�s s�� <br />Have Vou slaAcA wmking without a pennit7 ---YES '�_NO <br />MECNANICAL PERMIT APPLICATIQN <br />of Pro�ect. �New _Adtln _Alteratlon _Rnpair <br />Show Num6er (M) o/ Orhves <br />LER/ <br />N <br />- au handlino unds <br />�ir <br />31P.f <br />PRESSION SYSTEM <br />o• �Ir��,d� <br />PLUMBING PERMIT APPLICATION <br />ol Pro�ecC LyNovi _Addn _Allcralion _Rapair <br />chnw Num6er /NI ol (ixiums <br />Medical Gas <br />Other <br />I n��u•I�y u�ilJy v�al I h, ve road and ezamuwA Ihis appi�c, Uun anA know Ihe same lo be Ime and correcl All pmwsmns ol laws antl o�dinances govammg <br />th�•. Iyyi� o1 wotk will Ue compheA with whe�nr.r spcohrd heran or nol 1he qranling ol a permii Uoes nol presume to give authonly lo violale or cancel <br />r..� p���v�son nl any oqirr slale o� loca� law reguUling consimcimn oi Itie perlormance ol conslmdion 1ha1 I am aulhonzed 6y Ihe owner ol lhis prooe�ty � <br />i,� �����Innn Inr v����� fa� vdu,.n ;ippbcnuan is maArt and I comply willi Ihe S�ele Conlradois Law 18 27 RCW end'2BG 200 W�C �� <br />, �/� / _ <br />.`� . - �. �' ' <br />" __ �:I �Gn�,SeJ: �t�ft� <br />OwncrlAuthorimA Aganl Signalmr <br />