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PERMIT APPLICATION <br />BUII_DINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />(1'li APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 1`� g � 3 <br />for new conslruclion: Short <br />Ovmer Ownefs ABent �Contraclor � <br />., ._ ... . ._ n: - <br />, �e ►�1�� ��tt�l,l <br />� � Z"2� <br />l'�i-'e. <br />�u���'�S µJfK� <br />�vu�w� <br />BUILDING PERMIT APPLICATION <br />Use of Buildin9 <br />p <br />Lol <br />(altach copy of long legal descnption) <br />/\920� _TEOdO��musipmvqeakrarofconsanitomPern�nertaEov.oAinNespare) <br />F� <br />PRICE OF WORK <br />Proposed Use of Building � — <br />Buildingtype: _SinyteFamily _Duplex_Townhouse _Mulll-Family _Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkier _Demolilion_I <br />UESC RIPTION OF WORK (addi�iona� space proNded on the back) : <br />Sv�S.IE�i;u:� �coc �;in1�. ('r�� Gr..:�s� -f-e�p � C�F�k. Car�• <br />!� '���✓ US-` f�y�� l-ImJL�.-� �� -Ic =�.�si .. 3:� 'Sic�il ��x� <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT AP <br />ofProJecL• _New_Atldn _Allerallon_Repair <br />X <br />of Use <br />TION <br />ofPro)ecL•,LNew_Addn _Alteratlon_Repair <br />ShawNumber(q)o!/lxfures _ <br />Medical <br />Olt�er: <br />Number of Heads � ""'r'. <br />I hereby cenity thnl I havn reod antl examined lhis apPikotion ond Anow Na somo lo Oo Irue end cone<I. NI provisions of lam untl oNinences govemn8 �b rypo olwork vn0 bo wmpfietl <br />r�itli vAiclher spedfied hereln or nat. Tho gm�lin0 0l a permil tloee nol presumo to Orvo ou�honty to vloWlo or cnncel Ihe pmWsion ol ony olher s�a�o ar locel law regu�atNg consVudion <br />ihal I am aulhodzetl by lho owner ol lhis properry to petlortn I�o wark forwhich appfcatbn b matlo anG I compywdh Na Slole CanUacloro Law 1B27 RCW entl 29fi.200A WAC. <br />i� /��--� <br />��.�,� -�--�- � /z� - i3 <br />Ow crlAuthor d.Ac c Slgnature � �ate (Revised 6/20tt) <br />