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. <br />�lT � � <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/S�RINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 - 425-257-8810 — Fi1X 425-257-8�57 — ww�ti.everette/va.org <br />APPLICl1TIONS ARE NCCEPTED FROM 8 AM TO 4 PM �n —a ?�-I � <br />SITEADDRESS: PROPERTYTAXN P pil7 # /� <br />•�Gt�� 4?n�LcG��i�✓I_ Qtx �0439�1�b�o27o3 �II �(7lo"Q <br />lor nc�v conslruclion' Shotl PlaVsu6divivon <br />; Gre,a�. �bev�t G,*�.�w <br />24i23 'lzcc4aFtl�uvt <br />12c� {'L+UG�C. Av � <br />(a'-lcncvw `��,otic�. FJ1•tin� �� <br />UILDING PERMIT APPLICATION <br />Lot No._ (allath copy of Inn� Icgal tlescription) <br />PhoncrE-n,:ul �{% 5 - 212 _ (t'b�' <br />CilYl5laic/Zip ��/gy�.��J,4-�?p% <br />L81Lic.R [;�/E%655�'2Zej ep['�CiuZ <br />� ���,o�����»��� '�ZS-z52-3i1Y <br />CON7ACT FOR P[RMIT <br />V^N�tl�Cd ESSrN�.H� .c��-. <br />Phonel6imd <br />CONTRACT PRICE OF WORK 'I �� � . — <br />Exisling Use o( l3utldiny N � L�'+`-�` � HEAT SOURCE� <br />Proposed U5e Of Bwlding ���� Gas_ [Icclnc � Olhcr__ <br />Bulidin�type: _Sin9leFamily _Duplex_Townhouse _A4ulli-Famiiy XComn�,ercial <br />Type of projccC _ New _ Addilion _ Remadei � Repair _ T.I. _ S�gn _Sprinkler _Demolilion_Change ol Use <br />DeScripiion of Work (atlAdronal spar.e providedon fhe 6ackJ; r <br />��,� S�LIT �ijhT�n^� DUT�Oodi2 VW�ri IS �.J��NO yuut.E I�J 4��� <br />iNOoo�C. U�a�i� IS AP�o✓ @�Lutb �cN <br />flavc you started v�orking withoul a pr.nnit7 __YES _(_NO <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPI_ICATION <br />of Pro�ecl: _New _AJdn _Atlemlion _Repair <br />Show NumLcr (:fJ af !ixlmc : <br />� NC - air handiinq units <br />I Farr.cA air svslems <br />healCr <br />--- -------.. <br />Olhcr <br />SPRINKLER I SUPPRESSIO <br />Nmnbcr ul I Icad�: <br />SYSTEM <br />rvnc or ProJee�: _Nev, _aadn _nuer.�ron _acpair <br />Show 1Jumhcr /ql of li.(mes <br />� Clnlhes was <br />� Watr.rhr;dr. <br />� Smk (servia <br />--� f3ar.kllow p« <br />� Urin�l <br />-.�—� I7nnking 1'oi <br />� floUrdmin <br />I (:IB:1501Gi{) <br />-�---- - Roof Arain . <br />— I _ _ tvledical Gos <br />IOlher. <br />IOther: <br />I hcrc6y ccitily ihai I havr rc.�d:in�l craminnd Il��is a�;piicalion ;m; enmv Ihc sanic to hr. Irue and corrcG. All prov�cion; ol law; anJ ordinaaccs Qovc�n�ma <br />ihls lypn of v+ork a�V be contplmtl vnlh rAmlher Speciqcd hCrCin or noL T6o 9reniin� 01 a permil Aocs nol preswno Io grvr. nuthni�D� fn J�n'nfe nr cancrl <br />Ihn prnvlsinn nl any olhnr slalo or local I.tiwrequlaung construdion or Ihe pedo�mnnce nl mnslmcimn. lhal I am:+ulhonred by Ihn nr.n��i n� th� : pripcnY <br />to peduun Ihr. r:nrk br vAiich npplicalion i!: made ind 1 comp�y wdh Ihe Slale Contractors I.aei iD2/ RCW nnA 29G.200 WAC <br />OwnadAullmntcdAgenlSi9nnlmc '---��"Iln;c (IL�or;oJ:Q011J <br />