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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES /� _/-lJ �-/2. <br />3200 Cedar Sl., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED fROM 8 AM TO 4 PM �� Z �U "' U I � <br />•nne�ec. PHOPERiYTA%# PERMITN <br />tor new con5iruclion. Short <br />Lot No._ (attach copy ollon9 legal eesc�0�ion) <br />_Owner _Ov:ner'sAgent �Conlrac�or _COMrac.lor'sAgen� Tenan�{m�s�c�mua.kcercr«��e�,iro.^,mecw�<ri000+orx���me�c«el <br />��iXi����� :;�)Qll—. <br />ING PERMIT <br />Existing Use of Building <br />ON <br />I Lic. # COE Bu <br />Phone/Email ,� �O S"(9 ' <br />VTACT FOR PERMIT <br />�e/E�mail <br />YTRACT PRICE OF WORK <br />HEAT SOURCI <br />Proposed Use of Building � <br />Building type: _ Single Family _ Duplez _Townhouse _ Multi-Family _ Commercial <br />�..__ _. _._..,... u�,., nnn��r�o Remodel Reoair T.I. _ Sign _Sprinkle <br />DESCRIPTION OF WORK (adtlitiowl spacc proviCed on thc back) : <br />MECHANICAL PERMIT APPLICATION <br />o(Pro�ech _New_Addn _A�teralion_Repair <br />Shmv Nambc� (b1 o!lirtwes <br />T AIC—airhandlinounils <br />PLUMBING PERMIT APPLICATION <br />o1ProJecL _New_Addn �Allerallan_ftepair <br />Shaw NumberlYl o! lirtures <br />Medical Gas <br />Olher: <br />i hurclry <en ry Ihal I lia�o reatl antl eramine� I�is applkatbn nna Mnew R�e same lo Go Iruo ond cortecl. A'I pmvisions el lowf and orChancea Oovemmp I�ie rypa olxroik �NA bo wmp4ed <br />�veM1 ��hellrer specif�cd he�ein cr nol. Tfie Or:mLnB ol o pertnil does nol prcsume lo pne nulhony to c�olalo er can-el Iho pro�isbn ol eny oNer state or Iaai �w reBuWlinB constmclion <br />1 hal I am ouNonactl Oy I�a rnvncr ot tAis pmpeM �a peNorm �ho �vork br �vhrc� appi�wlron ie maae and I compN ��Sh t�o Stala ConVac�ore Lmv iB.P RC\V an� 3°d 200A WAC. <br />(i <br />� !/ � ��%��9'�2. <br />0 iw ier/Authodze A9ent Signature Oale (Re�ised 6i.011J <br />