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PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/�EMOLITION <br />CITY OF EVERETT PERMIT SERVICES 7� �'j �.� (/ <br />3200 Cedar SI., Everett, WA 98201 425-257•8810 FAX 425-257-8857 www.everettwa.org � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: PROPENTYTAI(p P MITp <br />��� SE b!�►tf� Mal Wa'� 7 go� iR-oo:3o.ti �oo ��tFn�1-/)/)' <br />tor new construction: Short PlaVsubdivis�on Lot No._ (attach copy ol long legal descnpt�^n) <br />ob��soh f�� <br />� Se c--vrK� n <br />��ti'e S <br />N <br />c—r�rc t� I�.�,a <br />.ICANT:_Ovmer _OvmefsAgent xContraclor _Conlractor'sAgent _Tenantlm�•ic�•�asaa�o�aaos��e�moo.,��rmao.,ew�inosa,w� <br />i RACTOR DY ✓� Nrov, S I G�h$ L 8 1 Lic. M pER.R�/�vG 0'7'iGM COE Bus. Lic. M 2 & <br />ss 1�� Q(,V�� j01� �O(.�0� ALh[ �(+l R PhonelEmail ��.5 7'%b Frk3 r <br />f�a��hsoo� P�a%�t�7�res <br />�O✓��+a (�rtt�'+ , /� <br />E�mai� eJoo..,.�C�berrqSig�S}ISTL^�S • [o�.. <br />BUILDING PERMIT APPLICATION CONTRACTPRICEOF WORK �/, ooa <br />Ezisting Use oi Building HEAT SOUR <br />Proposed Use ol Buitding �/ Gas_ Eiecvic_ <br />Building type: _ Singie Family _ Duplex _Townhouse _ Multi•Famiy L Commercial <br />Type ol project: _ New _ Addition _ fiemodel _ Repair T.I. �Siqn Sprinkler Demolition Chz <br />DESCRIPTION OF WORK (add�fiona� spare pm��dedan rhe back): <br />jvi o V'L e�r S fi' �-. �j �( Gt�t w, r' � a%� S l9 t-, <br />MECHANICAL PERMIT APPL <br />ol Project: _New _Addn _Alleretion _Hepair <br />Show NumberlN) o/lixfures <br />of Heads <br />PLUMBING PERMIT APPLICATION <br />al Project: _New _Addn _Alteration _,P,epair <br />Shnw Numberlal of /istures <br />Olher: <br />Gas <br />I �ereCy <Mily I�at I have reaG antl eramined �h¢ appiwlion anE know I�e same lo be true antl cortecl. All pmvsi0n5 0l Wv5 and pdinanms goveming Ihs �ype al work x�9 ha complietl <br />wifi xneiner specdietl herein a not. The qrenting ol a pCrmil Eces not O�esume to 9ive aNholtly to violato or fancel Ne prov6ion ol any ol�er siate or local law reguWting conslrutiun <br />TI�allamaul�onxcAby��eoxneroll�sproperlylopetlortnl�ewadlorv.nk�appliWlionismatlBantllcamplywi����CStaleCMbaqorsLaw1827RCWan0296200AWAC. ' <br />���u;��c�--- 7•�•I�f �v <br />Owner/Aulhorized Agent Sig ure Da�o (Revised 6/2012J <br />