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PERMI� APPLICATION <br />BUILDIfVG/MECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everelt, WA 98201 425-257-8810 FAX 425-257-8857 ww�v.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM —� Z <br />ADDRESS: � \ PROPERTYTAI(q ERnyT,# <br />Z):�n IUi r IJn irc %7-JF �N a 'd�� -Uc�\ <br />for nevi cons�ruction: Shod PlaVsubdivision Le� No._ (altach copy ol long legal d^scription) <br />i 1 , <br />tUe;�i-,,,� I.VA� �� S�vr `vn��s�1 �w'�L Phone�Gmai14�S-3J�-i-S.S�S -"�c�xY'C�u� <br />1{vl C � ll /7.v Q ���y,�����,�,� -,�. <br />_Owner �,Owner'SAgen1 ,_CoNraeto� _CoNractor'sAgent _Tenanl�m�siP�m;aeaier.ermmnse�ummvse+.rer�oo�+�orkmmeepazel <br />�isi �Uc S <br />L&ILic.# <br />G�'4y � Qrp PhonelE.nail <br />COE Bus. Lic. # <br />I C4 RrGSc�gai.��u�y-i� <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK I S,_DOO °= <br />• HEATSOURCE: <br />Existing Use o( Building <br />Proposed Use of Building Gas %( Eleciric Other_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Famity '� Commercial <br />Type of projecC __ NeLv _Addilion _ Remodel _ Repair � T.I. _ Sign _Sprinkler _Demolition_Change ot Use <br />DESCRIPTION UF WORK (addihonal spacoprovided on fhe bar.k): p <br />;�C,,p;._, U t tVn,II vr „�bVC �<����� C:., u�� I.'�/r� II <br />i <br />,. I tv,o�c sr�,,,.1 �_�aa�� t �rkn� _ � <br />�„ a ��., �� .�1� ,,.. � •�, <br />MECH!lNICAL PERMIT APPLICATION <br />TypeafProJecl: _Naw_Addn _Alteration_Repalr <br />Shmv NumUcr (a) o! /ixfures <br />SP <br />PLUMBING PERMIT APPLiCATION <br />of ProJect: _New _Addn _Alteratlan _Repair <br />ShowNum6er(M)offistures _ <br />I Other: <br />Gas <br />� Number of Heads ' <br />: nereby ce�dy ihat I have read and e�amined ihis app!ica5on and know Iho same lo bo we and correct P'�I p:ovlsens c' la.rs anC ord'mances geve�n'��g this typa of wcrk �viil bo compl'�ed <br />v.•,h v:�ei�er specifed herein or nal. The 9ranling ol a permil dees net Fresume to glve autherify to e�clate or c:mcel me pmv�sion ol any otAer sfaie er lowl law re9ulating conslmction'� <br />iFallamaulhoiizetlh/Ihemmeroltl�ispropetlylopedomil�aworklenrhichaFPlicationlsmaCeanilce��.Fly�e�;tiihe5ta'eCoNradorsLaw1827FCWantlZ96200AN'AQ �j <br />�l 1 � / , - �. '_ i ��' '_ � � <br />� '� �- <br />.n....:...a anni m <br />