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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, lNA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS:, <br />�b% � �� i�,i�:._ .. -- <br />TA% tt <br />19 <br />for new construclion: Short PlaUsubdivision Lol Na_ (a�tach copy of long legal descriplion) <br />, J i � ' � • � PhonelE-mail �'�� S ` �� � 7 — 33 . A S- L <br />2 �,�i i7 i /r ,i'� i:.'. <br />-, <br />�: ),� y� �,-:� � ti.�.�-.. ��'��,:�. <br />ue. n <br />�, � .� <��. <br />BUILDING PERMIT APPL.ICATION <br />UseofBuilding /�'�J������ �-���� �� �i-'%-�� <br />�c� 4.�i' %T''c-' <br />�R PERMIT . ,.� �� ,- �� <br />:)� '/' i d� ' �- <br />PRICE OF WORK <br />HEAT SOURCE: <br />Proposed Use of Building � -- -- - <br />Building type: Single Family _ Duplex _Townhouse _ Multi-Family �� Commercial <br />Type of projecl _ New _Addition _ Remodel _ Repair_T.I. _ Sign _Sprinkler_�emolition =_Change of Use <br />DesCfi tion of Work addifional s aco mvided on fhe back): � .` n� <br />P i P P ,/�_.� .�"i' .l'f/.-��^- li.'.�.f" '(t.�;lii� o,l.il..�L�q .:` �., <br />� .�!«.c. r� Li �C. /% l�.. � . _� ; � � ) . <br />� �t-C,il,li��^ '� C C�i_' 't Jt 6;. / <br />/1, L' c�']�) •C ^ �.E' .i . .. / t r.'L'..�L.(.r'.( � i . .. <br />` �•" i 1 <br />Have you slaRed working wilhout a permlf? _YES �' NO _� � 1� �� �� ��%�-�= v7'�• <br />MECHANICAL PERMIT APPLICA710N PLUMBINf+ PERMIT APFLICATION <br />TypeofProJecl: _Now_Addn _Altcratian_Repalr <br />Show Num6cr (It) ollizfures <br />I A/C - air handlinq unils <br />� Olher <br />SPRINKLER I SUPPRESSION SYSTEM <br />of ProJect: _New_Addn _Allaration _Ro�alr <br />Medical Gas <br />Other. <br />Other: <br />I hereby cetlify ihal I have read and examined lhis applicalion and kno�v the samo lo be Ime and corred. All provisions of laws and ordinances governing <br />Ihis lype ol work will be complied wi�h �vhether specifed herein or noL The granling ol a peimit does not presume lo give aulhotily lo violate or ca�cel <br />Ihe provision of an� iher stale or local lav: re�ulatina const�uction or the pedormance ol consimction. Thal I am authorized by Ihe owner ol lhis property <br />to pedorm �he worl��or which �pplicat�made and I comply v�ilh the Slate Contraclors Law 18.27 RCW and 296200 WAC <br />i � <br />L _� � <br />r�� <br />Ownor/AulhorizedAgon Sl�naturo Date l I (Rovised2/20171 ,. II� <br />ll -C�s-��`�'� _.� <br />