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q I <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257.8857 — www.everettwa.org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM G � I / <br />ADDRESS: <br />PROPERTY TAX R aC�, � <br />�a7 ' CC. <br />I z0 iltu:; L !' k-v <br />for new construcfon Short PIMUDai <br />t Flu J c'-'S-U"e Vo.j <br />3)U- d6-;IA, <br />ACTOR hur m i , U.11 <br />-r,'t Chrr \r IZrI L-41Mcsn <br />T BUSINESS NAME <br />'Q <br />li <br />.DING PERMIT APPLICATION <br />Lot No.__ (attach copy of long h.gal descriplicn) <br />n7C L&ILic.0 9 <br />xSlrnX'I ' `ri'c. PhoneiEmall 3 ^ %.-31L <br />CONTACT FOR PERMIT <br />PCcnC'Ema,l Cl"t, 4a5-7�'I <br />CONTRACT PRICE OF WORK <br />)1..ac" <br />HEAT SOURCE. <br />Existing Use of Building )rl I( <br />Proposed Use of Building r1j � It, <br />Gas EIMna_ Other_ <br />Budding type. _ Single Family _ Duplex _Townhouse _ Multi-Fam.ly _ Commercial <br />Type of project _New _Addition i Remodel _Repair__ T.I. _ Sign _Sprinkler_Demolition_Change cl Use <br />Description Cf WOO,, (addG,onal space provided on the back): � <br />?I,; .s1 b„J ' S <br />LJz : lit - <br />you started working without a permit? _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />of Project: _Ntw_Addn _Alteration _Repair <br />) <br />PLUMBING PERMIT APPLICATI <br />e' Project: _New • Adtln _Aneration _Repair <br />Kitchen <br />Medical Gas <br />Other. <br />Other. <br />I hereby ceiet! that I have read and examined Ins application and fAaw, the same lobe two and ccrrecl. A!I pmisions of laws and ordinances goveming <br />this type of work will be complied win whether spnified herein or nct. The granting of a parma does MI presume to give authority to violate or cancel <br />the provision of any other state Of local law regulating construction or the performance of consbudlon. That I am authorized by the owner or this property <br />to perform lha work r w1hhjjpn a "Cifl,On is made and I comply win the State Contractors Law 18 27 RCV/ and 298 200 WAG <br />bC b Z (Revised 2/2011) <br />Owner/Autho red Agent Ibnalum Data <br />