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� <br />PERMIT APPLICATION <br />� <br />BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES f/ �/C�—j/ <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITEADDRESS: �_ PROPERTVTIIXH PER T y�� <br />��'�� ryzl'o�n�..�� 7S��ti�'�cv3o�7� /�� <br />LEGAL lor new canstruc�ion: Short <br />OWNER <br />OR r� rS � v^Y. ^i�. �"•P� IL 8 <br />102�1- ZiS�� �vtiS� Srol-v�`� w� <br />U��ESS NAME C01 <br />��'�C/ � <br />BUILdING PERMI"f APPLICATiON <br />Existing Use cf Building <br />Lol No._ (allach copy ol long legal description) <br />maii <br />°l2ip <br />� ^s�-�� B'_� f � <br />�LSU phonelEmai��9Y�jy�`i--�'^STp`c <br />CT FOR PERMIT <br />�mail %q__��� � J�S� <br />ONTRACT PRICE OF WORK <br />RCE <br />Proposed Use oi Building � Gas_ Eleciric__ Oiher_ <br />�wlding type: _ Single Family _ Y Tovmhousc _ Multi�Family _ Commercial <br />Type of projecl�. _ New �Additio�Remodei _ Repair _ T.L _ Sign _Sprinkler _Oemolition_Change of Use <br />Oescription of Work (adddional space prowdetl on Iho back) �. �� � nLw y�i�a /� \o^r� /`t h� ��r^• S�^. 4 W F' � 1 <br />v <br />Have you started working wilhout a permit7 _YES � NO <br />MECHANICAL PERMIT APPLICATION <br />olProject: _New_Addn �`Alloralion_Rep.ir <br />Show Numbc� (MJ ol /�xfures <br />I A/C - au handl�nq umts <br />c;as <br />NKLER I SUPPRESSION <br />PJumbr.r of Hcads � <br />PLUMBING PERMIT APPLICATION <br />Typo ol ProJecC _New _Addn _Alleralion _Repalr <br />Show Numbrr (71) of lixtures <br />L <br />f3ackflow pre <br />Urinal <br />Dnnkin9 Fou <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Olher <br />Olher <br />I nereby cetldy O�at I have reatl anA examineA I�i, applicat�on nnU know Ihe same to Ue Irue and correct All p:ev�sion, ol laws and oMinances goveminq <br />ihis Iypc ol work wiil be [omplicd vnlh vdwlhcr ,pec�Ged herein or nat The granhng o� a pertnit Ooes not presume I� �ive aulhonly lo violat� o� canccl <br />Ihe provision ol any olhei slote or lowl law re9ulating cunslruGion or Ihe peAonnance ol consliur.bon. Thal I am aulhon.^d by thr, ov:ner of Ih�: pmpr.ily <br />�o pedorm 1 riorA lo� vRudt ap ilic tiun is made an� i comply vnVi Ihe Slale Con�rac�ors Law t� 27 RCW antl 296 200 WAC <br />l i- �`I-�I <br />wncr/Authodzed Agenl Signalun Ualc (Rr.wsed7/701 q <br />L <br />0 <br />