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'� I��L���I�U <br />PERMIT APPLICATION <br />U�� .i�Jl I 7 20i2 <br />BUILDINGlMECHANICAUPLUMBINGI5IGNISPRINi�11���I1��i�N <br />CITY OF EVERETT PERhiIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX �25-257-8857 www.evererivra.org <br />APPIJCAT10N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: PROPEFRV TAX p PtRM1T p <br />�.�_ � . � --•- -- - - �,-,,,� _nn� <br />1orm.wmnsWctwn� ShatFn�Usubdnisron _ <br />�� <br />I <br />No _(anaU� co, y ol bnp Icgal UesrlipJon) <br />✓Do� <br />_ Qrmer _ Ownefs Agm1 �C CanS�r _ Con;rffior's Agent _ ienant Ww� vo.�ec, r.•rs a a.�:: mm ro a.�v.+m eo.u. n:re +n,w� <br />ii S� <br />8 I L¢ f! L <br />UC p <br />�namss � e w L %nt f.✓ PhonrJ[mvl dS3 ' � S�2 <br />'ENANT BUSINESS HAME COHTACT FOR PERMIT �o ��o� � S <br />3n X'�t � I� ..-) o�n , i 5 Pnonr/Emad aS 3 �/7S Sd SJ <br />BUILDING PERMIT APPLICATION Cor+rrucT PwCE OF woaK �'S. o co <br />Ewsting Use of Bmldmg �e �. :( �� k;F,�:�a �a c i HEAT SOURCE�. <br />'roaosed Use ot Bwidmcl_Sa.a� Gas___ ElccTnc_ ONer_ <br />3wlding rype� _ Siigle Famiy _ Duplex _Townhouse _ Multi-Family �[ Commercial <br />fype �I nm�rr�� Nrw Additinn Remotlel Reoair T I X Sian _Sonnkler _Demolition Chanqe ol Use <br />)ESCRIPTIONOFWORK�adddrowlspacepmndeOonmeLacR)�. �%P�4« <X.S��-� >•`/`c_�4 1 �/'`" <br />��L( .� ii:.�Q' i[!✓ .�l�..��.atSi ry . ie ...c��..n/� iC.-�e � arF <br />�` �LX�S A-le( /t,i�4CC o� G�Aw.a<� �u�lr S!'�� n.ad JJe.�� 5� �l {4C15. <br />MECHANICAL PERMIT APPLICATION PLUMBIHG PERMIT APPLICATION <br />ol PrajM: _New_AdGn _Aitnration _Repair <br />S�ow NumDcr (01 0! firtums <br />NC —air handP�ng umts <br />Forced air svstems <br />SPRlNKLER/SUPPRESS <br />Numbcr of Heads <br />Type ol Project _New _AOdn _Altrratlon _Repair <br />Other <br />Gas <br />1 httMr m�rty Nat I �m m V and ec�mnM Ns apN�uon ana Mow Ne :amc tn �c vue an0 cmed A1 pavmns Atri.s arb wdnan¢�s povemmg Na tyyc o1.+ort .� Oc mmD'+c" <br />�t� Mn,qicr :,pivsl�if hertai n nol The �'anlnP d i perm] da�s no1 Pesume tn {prc aummy m vmtatc a onml Nc pnrmon ot airy oVin stitc a beil lrr ng�:Lib�p mnvtutton <br />ihal l am auNoMM by Ne owner af N6 popclty lo prrtam tne wM tw �MC� .lppiei�on 6 maUe an01 mmpy Wn tne Sta'e ConY.rtfan Ltr 1617 RCW ana 2P6 700N WAC <br />I/` <br />'7- /L-�o�- <br />OrmeAAuth � erttSignatum Date (F7ev�.sWfi20121 <br />