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PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBIN��/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT I'ERMIT SERVICES <br />320U 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 ��-O�F" �� <br />for new construction: Short <br />8 I Lic. # <br />.�.,,... .,.._...--- ._....._ <br />CaG-R$ER causic�v {' Uc+'�ss <br />LDING PERMIT APPLICATION <br />No.� (altach <br />si <br />of long legal descnption) <br />PRICE OF WORIC�I OO K L�� <br />Exisling Use of Building l�v�no oRo t-�.c�� SA� 5.� iJ4¢E NS. HEAT SOURCE: <br />ProposedUseofBuilding %iI<TiiM�P �G2v�CF�PA�P. Ges_ EiecMc_ Other_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Muiti-Family �,C Commercial <br />Type of project: _ New _ Addition _ Remodei _ Repair � T.I. _ Sign _Sprinkier _Demolition_Change of Use <br />Descrip�ion of Work (addifional space provided on fhe back): <br />REhtor�t- (E) S��'Fs po¢1iaJ 1=�� <._. <br />.�vl�� A a � /�Pl7 [AR-wAs►F PREP we�K.sTM'+onl� pM�—p.�va}1�"�K R�oR <br />NrO¢y �nlcUtDE� /JEw PAR�PET �Kf�+�� t �2EI��.At.� S19�4 wrrN N� H+�Fn�PA��- <br />Haveyoustartedworkingwithoutapermit? _YES i�NO '(FkTf,VC�� S�V�N�+• <br />MECHANICAL PERMIT <br />ofProJact: _New_Addn _Alteretion_Ropair <br />ShowNumber(M) o/flxfures <br />PLUMBING PERMIT APPLICATION <br />of ProJect: _Naw _Addn _Alteratlon _Rapalr <br />ShowNumber(M) oI!lxtures <br />Medical Gas <br />Olher. <br />Other. <br />I hereby certity thal I have read and examined ihis applicalion and know Ihe same lo be true and corcecl. All prov(sions of laws and ordinances goveming <br />this typa of work will be complied with whether specified herein or not. The granting o( e pertnit does not presume to give authorlty lo vioiata or cancel <br />the provision of any other slale or local law regulating construclion or Ihe performance of conslruction. That I am aulhorized 6y the owner ol this property � <br />lo pertorm lho work for which applicalion is made and I comply with the State Coniractors Law 18.27 RCW and 298.200 WAC I ^ <br />D 2 v <br />n Aulhorizod Agent Slgnature Dale (Revised22017) <br />µE��A �L.. faeE6vE � AK.c.N iTEG% �� , t- <br />