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PERMIT APPLICATIC�N <br />BUILDING/MECHANICALIPLUMBING/SIGNISi�RiNKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SF•RVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettQwa.org `I 7 <br />APPLICATIONS ARE ACCEPTED FP.JM 8 AM TO 4 PM I� <br />ADORESS: � n C PR P�P." �I1Xk � IUO MI , �� <br />.� I�.� m Dou��,�c� ��c �e�. �.q�,, ,�: � � c��- <br />fornewconstruction�. Short <br />t (,��„'rii;D l.ti'� ( <br />c� Sh�����+�;hif <br />No _(attaU copy oi long legal descnp6on) <br />O.�ner Ow�er'sAgenl `=��nlracto� Contrsdor'sPgenl Tenent�m�sio���•kn��au,�seoixommeo...�mao..on.om<sw«i <br />"�i ?7c 1YIEcNftNlck�- ��ai��o.0 <br />4 ) 1_Z Z"'' S� /�;�i r �,,, n-? Yu �/ <br />;,,�� �-rcL, (,��1��1 G� S�UvNu(11 <br />BUILDING PERMIT APPLICATION <br />�uc� �75' <br />PRICE OF WORK _ <br />Existing Use of 8uilding <br />Proposed Use al Building �` <br />Building type: _ Single Family _ Dup�ex _Townhouse _ Multi-Family _ Commercial <br />Type of project New Addition Remodel Repair T I. Sign Sprinkler _[ <br />DESCRIPTIONOFYYORK(addrtiona�spacepmviaedonfnoback): �1'���� � V c� (� ti�� <br />1= c c; i <br />MECHANICAL PERMIT APPLICATION <br />TypcolProject: _New_Atldn _Altoration__Repair <br />Show NurtdxrlA) ol fiYfures <br />C� COE Bus. Lia # <br />�7� 75Z' <br />�ic.c.U7�n , <br />�S "z. 7 <br />IUO <br />HEAT SOURCE: <br />_ Electric_ Other_ <br />�olition Chanae oF C <br />Itii� 5 <br />PLUMBING PERMIT APPLICATION <br />ofProjecC _New_Addn _Allcralfon_Repair <br />Snnw Numlxrr Ip) of /irlures _ <br />Olher: <br />. Number of Heads �"""� <br />I Irereby ceiLry Ilial I navo renC an0 eR3mn�W Ihn epplcetpn and know I�e sxmo lo Ue In10 an� Contt�. AM pmnsans ol Yiws ena erdnencea qoveminp ihis rype ol woM w+l �e canpFN <br />�Mi� Wm�icr spcof�ea hereln w not. TTo Brantinp ol a permA elocs not pmwme lo B�a authmy lo vro�le a cancel Vie pmvisron o� nny oNer stnte w bcal Ww regulatnB �^s W ction <br />t liai I am auV�or¢ed by �he wmer ol this propaM �o Ve�onn ihc wpk br nhifh applratn^ b mede end I mmny vnth Ne Stete CanVncton Lew 18.P7 RC W anE i9fi 2 W A bVAC <br />���(..� _/ -'-�i 11 <br />�,��� <br />OwnedAuthorized Agent Sigrahrc <br />Dale (RevisCd fi2012) <br />