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�� ERMIT APF�LICATIOti <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•e.�e�etlwa.org <br />APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM af ..- / Q` j( <br />C� <br />for new conslrucllon: <br />t��y M?src_ecQo S v- <br />,—oU 1%.12 cvcY'eerl <br />Lic. # <br />LDING PERMIT APPLICATION <br />Use of <br />No._ (attach copy ot �ong Iegal description) <br />PRICE OF WORK <br />HEAT SOURCE: <br />sed Use of Building � "°' — - — <br />ngtype: _SingleFamily _Duplex_Townhouse _Multi-Family ,_Commercial <br />of proJect: _ New _Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />of Work (addifional space provided on fho back): <br />you slaRed working without a permit7 _YES _NO <br />MECHANIC/OL PERMIT APPLICATION <br />o1ProJoct: _New_Addn _Altaration_Repair <br />Show Numbcr (N) o! lixh�res <br />A,'C — air handling units <br />Number ol <br />PLUMBING PERMIT APPLICATION <br />otProjech _Now_Addn _Alloration_Ropalr <br />stiowNum6erlpl o/lfxtures <br />Other <br />I hereby certiry Ihal I have read and examined Ihls applicallon end know the same to be true and cortect. All provlslons of Iaers end ordinances gaveming <br />this type of work will ba complied with �vhelher specifed herein or noL The graming o( a permit does not presume to e�ive authority �o violate or cancel <br />tho provision of any other stala or Iocal law regulating conslruction or Ihe peAormance of construction. That I am authorized 6y the owner of Ihls pro�eAy <br />to perlorm lhe work (or which application is made and I comply wilh 1 e Stale Conlraclors Law 18.27 RC'N and 296200 WAC <br />\!� �ti�' p � � l $ �,?lti 1 ` <br />Ownor Authorizad Agont Si�naturo Date (Revised 1220f0) <br />