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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIrNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, �VA 98201 - 425•257-8810 - FAX 425-257-885i - www.evereltwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �%`� Z <br />p / � �. j 1 PPOPERTYTA%N PERMITN <br />AUDRESS: / C � L, / /•� .��- (- G ('/ � r �{G�� <br />for new conslmcUorc Short <br />t ������ � <br />L <br />PERMIT APPLICATION <br />Use ol0uilding <br />Lot No._ (atlach copy ol lonp <br />Oestdpticn) <br />t'i/f'fl�7L ��gILIc.B <br />j�L�.t. PhonNEmad � � � n f' � /C� <br />CONTACT FOR PERMIT � n1( ��: <br />P�onclEmeil rU3 0 ' <br />r.nNieACT PRICE OF WORK ��• Dn7 <br />ised Usa of Building -� <br />ngtype: _SingleFemily _�upleK_Townhouse _.Multl-Family �Commerclal <br />olprojecl: _New ,_Addition _Remodel �' Repair__TJ,_Sign_Sprinkler_Demoli0on_Chenge olUse <br />iiptlon ol Work (atldeional space pio�iJce on tlre Earw) : <br />you started worMinp without a permit7 _YES k NO <br />NICAL PE RMIT APPLICATION <br />o1ProJect: _New_Addn _Allcrntlon_Rapalr <br />er.�W uumhnr /MI al flrtures <br />�i <br />PLUMBING PERMIT APPLICA71 <br />o1Pro�ecl: _Naw_Atldn _Alterallon_FeFelr <br />Shower <br />Kdchen <br />Waler <br />Sink (! <br />Medical Gas <br />Olher: <br />I liervhvi cerbry Ihdl I 1'a:o ieaA nnA eKemine� Ihi! eppliwlion end knnw II',e same lo ba INe BM rorrec� All prOvlslone of law] a�d a�Cinance9 gover�m9 <br />tms type ol xork vnil I;e compiied v.ith whether npecdieA herein or nol. The granling ol a peimil ticee nol p:eeume ta O��e eut�onty Io violale er cancel <br />n�e pmvis�on ol �ny omer slale or qcal law regulaling conettuclbn or I�e Dedormance ol eonaWqlon. Thet I em eulhotlzed by t�e curer cl (his preperry <br />�o perfoim Inn v.roik lor v,hkh eD��^ le meAe anC 1 eomply wlih Iha Slata Conlreelors lew 1B 27 RCW entl 29B 200 WAC <br />'�;� ,,�� -r-,, ./t- <br />�. � .- � c <br />Ownc7 u� orlmd A9enl Slynalure <br />Uate (Recised Y20I IJ <br />��2 <br />