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PERMIT APPLICATION <br />G�r3�u <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CIN OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Ever�tt, WA 98201 - 425-257-8810 — FAX 425-257-8857 — v✓�wo.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />nnnnccc• PROPER7YTAXp �RMITM <br />fornewconslmclion: ShoA <br />� i�/�.,.,�1 F�: � <br />Z V.J <br />�u7�D yybt� <br />I"IChh.v.l �caJ'e.i.t�.J>i� <br />I✓-sr.; , �h <br />�r.r Z„�r �L&I <br />�`�CtI- �'Z�'!/ <�hf,. <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />No._ (attachcopyollonglegai,'escription) <br />�� 2 ��c:-9b�-oS�Sr.._ <br />o ie..it�. l�D�LZ <br />PRICE OF WORK <br />S'/D `!b�'� <br />. j(�l ,F�c�M:I�C^olc�av'S <br />�,�,�, r� �z.i r..,;� <br />HEAT SOURCE: <br />ised Use of Building N�� I Gas___. E�ecinc__ Other _ <br />ng type: _ Single Family _ Duplez _Townhouse _ Mulli-Family ✓Commercial <br />of prqecl: _ New _ Addilion _ Remodel _ P.epair,_ T.I. _ Sign _ Spiinkler _Demolition_Change of Use <br />'ip�ion o( Work (adddional space provided on (he backJ : <br />/i�2W %thl-r-� 1!� r T <br />rve you starte� working wilhoul a permil9 _YES �_�O <br />MECHANICAL PERMIT APPLICATION <br />of Project: _Now _Addn _Alteralion _Repalr <br />Show Numberlill ol Iixtures <br />of Heads <br />PLUMBING PERMIT APPLiCAT10N <br />of ProJact: _New_Addn _Allcratlon__Repair <br />Show Numb¢r!#1 0l fixtures <br />Medical Gas <br />Other. <br />I here0y certdy ihat I have mad 2nd examined lhis appl¢a�� m anC tinow I�e same lo be Irue and correcl. All provisions of lav.s and ordinances govemrtg <br />this type o� �w�k wi�l 6e complied with Kfiether specified herein or neL The g�anting o� a permrt Eoes nol presume to g��e au:hority to violale or cancel <br />the prov�sion ol any ofher slale or local law r(:gulal�ng constmct�on or lhe pedormance ol constNclioa That I am authorized by Ihe owner ol thie pro0erty <br />to perform Ne vrork lor LNiicn application �s Rade and I comply w�lh ihe State Contrac�ors Law 1827 RCW and 296200 YJAC <br />�/ �1��� �/��/�� <br />1' dA nlSi naWre Date (Revlsetl?12011) <br />OwnedAut ior¢e ge g <br />�' 2� <br />