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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA A8201 - 425-257-8810 — FAX 425-257-8857 — wvwv.everettwa.org <br />APPLICATIONS ARE AC�EPTED FROM 8 AM TO 4 PM <br />ADDRESS: C V E LC'r PROPERTYTA%p PEIj111T� �.w� ' <br />lo�l N �5;1�«I���«.� � � u5 <br />lor new conatruclion� Short <br />�V`e V InI D4 iZ <br />(�. C� i��• � � ,� 11 '� <br />PlaVsubdivlelon Lol No _(ellech copy ol lonp leqel deeuip�lon) <br />j �/�(., ��} P�ono![�inail �1.91- Iuy ,3Gn0 <br />qiannni;�or/c, .,�,nt� <br />ciroisia�emu �Ihr�wer,� lvA �l�4o3G� <br />�_2����{ ('u�Lt,.`�.N��t[jL8llic.M <br />�1r1U-•t^c�� V.1 !� `j�0 "3% <br />LDIN6 PERMIT APPLICATION <br />ANNLLLXY� <br />�i�;7' ���15' :3%,�• p <br />trAS 343•�i164 <br />PRICE OF WORK <br />EKisting Use of Building HEAT SOURCE�. <br />Proposed Use of Building Ges_ Eieclr�c_ Other <br />Building type: _ Single Femily _ Duplez _Townhouse _ Multi-Femily � Commercial <br />Type ol projecC _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demalition_Chenge of Use <br />Descrip�ion of WOfk (edddionel spece provided on fhe back): <br />you etaAod working without a permll9 _YES �,NO <br />MECNANICAL PERMIT APPLICATION <br />ofPro�ecl: _New_Addn _Altorallon_Ropelr <br />Show Number (MJ o/ /ixfuros <br />—T A/C — a�r handlina um�s <br />SPRINKLER <br />of Heads <br />ol ProJect: �Now _Addn _Altantlon _Rap�l� <br />Show NamberlN) o! fl+funi <br />Medicel Gas <br />Olhet: <br />a <br />I hereby cendy thal I heve iead and e+eamined Ihie apPlicallon and know Ihe same lo be Irue and wrred. All pmvislons ol tavn enA ordinances poveminp <br />Ihis lypo ol work will be complied with whet�er spocified herein or nol. The prenlinf ol e permlt doe6 nol presume to pive euthodly lo vlolale or cencel <br />Ihe piovision oi nny olher stete or local lew iegulaling coirolrucllon m Ihe performance af consirucUon. ihet I em euthouzed hy the owner nl �hle propetly <br />to pertorm the work br whlch appliwlion is mado end I eompty vnlh the Slale Conlraclora Lew 18 27 RCW and 296 200 WAC <br />,1 <br />� 5;�� r� � 17- ;�cll <br />OwnodAuthorizod Agont BlgnaNro Dale (Revised?/20f q <br />�f L <br />