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( <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-885' — wvaw.evereriwa.org <br />APpLICAT10N5 ARE ACCEPTED FROM ! AM TO 4 PM <br />lornewcrosWUion: Short <br />di� <br />PERMIT APPLICATION <br />Use of Building �m� <br />(attatli coPY of brq bpa� <br />u i, d+��sc�s�. <br />PRICE OF WORK <br />HEAT <br />�sed Use of Building � — — <br />ng type: Single Family _ Duplex _Townhouse Multi-Family _ Commercial � <br />of project: ,_ New _ Addition _ Remodel Repair _ T.I. , Sign _Sprinkler _Demolition_Change of Use <br />of Work (adddional space proviCetl on the back): <br />you started working without a pertnit7 _YES _NO <br />PERMIT <br />ofProjact: _Naw_AOtln _A��erallon_Repalr <br />heater <br />PLUMBING PERMIT APPLICATION <br />of Pro)ect: _New_Addn _AltaoHon <br />Show NumbeflRl o/flMuras <br />Mediwl Gas <br />Other. <br />� � NumberofH�ads II vmer. _ <br />I hereby certih� that I have read and ezamined this appication and knav ihe same to be We antl correct Ail pmvisions W laws and ordinances poveminp <br />this type of xnrk vrill be complied with whelher specified herein or noL lTe granting ol a pertnit dces not p:esume to give authoriry to violate w�ncel <br />l�e pnvisior of any dher stale or local law regulating conshuction w the performance ol caistruUion. Thal � am au[hwized �y Me wner of this property <br />to perform ihe wurk for which application is made aM I comply v.ith the State Cont2dors Law 18.27 RC W and 296.200 WAC <br />i� 1� � �-/�/// <br />�wnerlAuthoAzed ent5lpneture a�e �RQ1������� <br />