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PERMIT APPLICATiON <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.or�gy <br />APPLICATION5 ARE ACCEPTED FROM B AM TO 4 PM IO��a �/ <br />RMIT# �� <br />nnnoece. . _ PROPERTYTA%I7 �c, _ _ _ <br />for new cons�ruction: ShoA <br />ER <br />/�7/7 U �'Z �'i �� <br />LDING PERMIT APPLI�ATION <br />Existing Use of <br />a <br />r <br />Lic. # <br />No,_ (allach copy ol long legal <br />PRICE OF WORK <br />FAT <br />Proposed Use of Building �� "i /Zld=fi u�c �—�'7� L Gas_ Eleddc_ Other_ <br />Building lype: _ Single Family _ Dup�ex _Townhouse _ Multi-Family x Commercial <br />Type oF project: _ New _Addition _ Remodel _ Repair_T.I. _ Sigr: _Sprinkler _Demolition_Change of Use <br />Description o( Work (additional space provided on fhe back): <br />'��tSe LtiTDLto+2� Ko+� -'LoA1�d'FAIN►iG wl1,.c.. �COliB C',orwPL/Ilnca C4'3�� <br />'� I D-084 5 <br />Have you started working without a permit? �YES _NO <br />MECHANICAL PERMIT APPLICATION <br />nf ProJecl: _New_Addn _Atloration_Ropalr <br />Show NumberlN) o/(ixtures <br />SPRI <br />Number of <br />PLUMBING PERMIT APPLICATION <br />ofProJoct: _,Now_Addn _Altoration_Rapalr <br />ShowNumberfNl offlxfures <br />Medical Gas <br />Other: <br />I hereby cerlify that I have read and examined Ihis application and know Ihe same to be Irue and cortecl. All provisions of laws and ordinances goveming <br />Ihis rype ol work will 6e complied wilh whelher specified herein or not. Tha granting of o permit does not presume to gWe authonty to violale or cancel <br />the provision of any other state or local law regulating conslruclion or Ihe perlormance of construction. Tha: I am authorized by the owner of Ihis proPerty I� <br />lo peAorm the work for which a plicali made a�l I comply wilh Ihe State Canlractors La�v 18.27 RCW and 296.200 WAC ` <br />�� ,�� �J//�// . <br />_ . _ .. . . . . _ _' ___.«__ naia lRevisetl 22011) <br />