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�PERMIT e4PPLICATlO� <br />BUILDINGIMECHANlCAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM J`/ �/ '� 3 <br />ADDRESS: PROPERTYTA%p P�M1��I.�� I — �I � <br />�QD� �v�r-u.� �✓M? ZSb5b7o03ab7d0 15 <br />LEGAL tor new conslmclion-. Shon PlaUsubdivision Lol No._ (anach coOY ol Icng legal tlescnplion) <br />OWNER ` yt� ('(D �l�Ej "� Phonc/E-mail <br />Address �1�5 � 5 �Ver n`^��^�1 { CirylStaleiZ�p Gw�c�'�n U%k �s LD� <br />APPLICANT:_Owner _OwneYSAgent _ComraUor YContraclorsAgent _Tenant�m.��io��.�oaiecd�oimo;,mn��ma�.�o�uoo�+���mo.o��� <br />^ <br />72"7 <br />,�r . <br />��vvlclr'l• � YV``�� <br />BUILDING PERMIT APPLICATION <br />� a i ��c. a E�E31rt2`q54 rzz CO[ Bus. Lic. # DN'i}$O <br />� �g � �� PhonelEmail �6—'6� � �Z � � <br />CONTACT FOR PERMIT ,( �� �7 wkl�t�-.� <br />/T u <br />PhanelE-mail 7.06-�6�-iZU�I ��'�-7�y�7 e� � h✓^e.r: <br />CONTRACT PRICE OP WORK � C V�1 S• 00 <br />?xisting Use of Building _ HEAT SOURCE. <br />'roposed Use of Bwlding Gas._ Eiec��ic__ _ omer_ <br />3uilding type' _ Single Family _ Dupiex _Townhouse _ Multi-Pamily '� Commercial <br />"ype of project New _ Atldilion _ Remodel _ Repair ✓ T.I. Sign _Sprinkler _Demolilion__Change ol Use <br />)ESCRIPTION OF WORK (addmona� spaco p�o��ond an nc� bace) : <br />z�s�,���„ � d�v��,�. , �<< �� / d,��, ,�� � �^` < <� �:�.-� ��..,,� . <br />MECNANICAL PERMIT APPLICATION <br />ol Ptoject: _New _Addn � Allcralion _Repair <br />Show Num6cr (p) o! fixfures <br />A/C — air handling units <br />Forced air syslems <br />7 <br />I SUPPF <br />Number a1 <br />PLUMBING PERMIT APPLICATION <br />o1ProJect: _New_Addn _Altera�lon_Repair <br />Show Numbcr (p) ol fixfures <br />Other: <br />Other. <br />Gas <br />I PeieOy cendy Iha1 I have �ead and examinetl In¢ aVPliratr�n and know Ne samo l0 6e We a�tl wrren All pmvisions o� laws and orCinances goveming Uis ype of work wJl he compl�.ed <br />wiN w�olhe� specdred nerein or nol T�o grJnling of a pertn9 Coes noi presume lo gne auNanry lo Wolaie or cdnce� fie p�Ovupn of any oNer slate or lowl law m9ulgling conslmcpnn <br />Thal l am 3uiho�¢ed Oy �he owner ol IAis property �o Ootlortn Iho work lar xn¢� aDPLcaiion �s made an0 I comply wAn the Slale CaNraclors Ww 1827 RC1Y antl 296.200A V:AC <br />�.d'✓� � � � I /I 3 <br />OwnedAuthodzed Agent Signa�ure Gate , (Rovised 6/2012J <br />