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� <br />PERMIT <br />� <br />APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (�—O �-- � U <br />lor new conslruction: Shon PtaVsu6tl�vision_ ___Lot No.___ (attach copy ot long �egal tlescnphon) <br />PERMIT APPLICATION <br />Existing Use of Building <br />Proposed Use of Bwiding <br />Building lype: _ Single Family _ Duplex _Townhouse <br />PhonelE-mail <br />citylSlale/zip yQyii'Vl /M� S w �F' <br />! .�Lic.tt Pi 41 <br />2S'�L�3 PhonelEmail ���� <br />CONTACT FOR PERMI � C'6,'� <br />�/� ���� . <br />PhonelE-mail LI��%fD6d �� p, <br />CONTRACT PRICE OF WORK _�� <br />HEAT SOU <br />Multi-Family <br />Type of project: _ New _ Addition ` Remodel _ Repair _ T.I. <br />OeScriplionofWO.r.�k�a,tld�rti�on�a�spaceprovid�etl�onfhebfack): �� <br />V' -27Jl.c.K_ �j 'i`^""' <br />you started workdng without a permil? _YES <br />MECHANICAL PERMIT APPLICATION <br />Type ol Project: _New ___Addn _ Alleretion _Repair <br />Show Numbcilltl 01 /ixfures <br />SPRINKLER / SUPP <br />Commercial <br />_Sprinkier __Demolilion_Change o( Use <br />PLUMBING PERMIT APPLICATION <br />ot Project: _New _Addn _Aitcration __Repair <br />Show Nurnbcr Ipl ol frxfures <br />Root tlrains <br />Medical Gas <br />Othec <br />Olher: <br />I hereby cerlity ihat I have reatl antl ezamined this anDlicalion and know Ihe same to be Irue antl wrtecl. All provisions of laws and ordinances goveming <br />Ihis rype of wo�k vnl� be complied valh K�helher specifietl herein or not. The granling ot a permil tloes not presume to give aulnorily lo violate or cancel <br />the provision ol any other slate or local law regulating construction or the pedormance ol construction. That I am authonzetl �y the owner ol ihis property <br />to orm Ihe work lor which application is matle and I comply vrilh Ihe Stale Conlraclors La�v 18.27 RCW and 296.200 WAC �/ <br />�Z <br />O er or' Agent Signaturo �ate (Revised 2I2077) <br />