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r�� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <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 />ADDR[SS: _ _ _ _ PROPERTY TAJS a. _ _ _ PEAMIT x . _ _ <br />� <br />�OrOCwmn51NCLOn. ShCtl <br />No <br />(attaU ccpy ol iong iegai cewnphon� <br />_Owrer _Owners.aaent V Contracl0' _Ccnlratte!5Ag2nt _Tenanllm�+�om.�a..�eeo�a!roeic�i+-���om..�m•�n..c�����so�un <br />'�ine,"� Y -t-o�b2 �F� <br />n u � C��t ��' <br />NG PERMIT APPLICATION <br />81 LiC t �� <br />� Ph�r,ClEm3ily <br />ONTACT FOR PERMITl1n i� <br />�25ygd��6��-4pf'�;I�iI1 ��f/ �� <br />•.oneiE�man L16J-�+.L.Y— <br />DNTRACT PRiCE OF WORK <br />Use ot Bulltlmg <br />tl Use af Builtling <br />ryFe� _ Smgle Famiiy _ Duplez _Townhouse _ Mult-Fam <br />�iojeci. New Adtlihon Remetlel ReOa��r�Tl <br />IPTION OF WORK (ace:ocna� soare pr�v�dco on tnc Da:ki �. <br />AGi� �,t�� P/x llii�u�'t�/ ��1�1�15 . <br />MECHANICAL PERMIT APPLICATION <br />ofProject: _New_Atltln <br />Gas ran <br />Clolhes <br />t <br />ISUPPRESS <br />Number ol Heatls <br />m _Repair <br />umts <br />T <br />�Commercial <br />� <br />of Use <br />P�UMBING PERMIT APPLICATION <br />olProjecC _New_Atldn _Alteratian_Repair <br />S�ow NumOer !71 0/ �aYures <br />in <br />Metlical Gas <br />Other <br />� PeieOy cert�.ry �nal I nave matl dnE e.aminetl Nis aOPl�ql�on an0 hnaw inC same Ic �e Uue anC cart¢cl Ail p�ovisions ol laws anU oNinances gavem�ng IM1is type o� werl w�.l! [e comp���trf <br />wJnw�elnerso�ubeanemncrnot IDegr�qpagolaDe�m:ICoesnolpresumologrveaul�cnrylovula!eoreincellfiepNnsio�olanyol�ers�aleorlowllawregulaungcansimcl:cn <br />That I am auNonted Oy Ne mrner cf mis pmperty lo perlortn Ne wcrk lotwn2� apP��W�b^ 6 matle anG I compN vn:� iAe Siale ContraCc , Ww 18 2T RC W ana 796 200A WAC <br />�.�d�p,c,� 12�6�2b13 <br />OwnedAuthorized Agent SignaWre �ate <br />(ReviseC 6207: ) <br />