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PERMIT APPLICATION <br />BUILDIN ECHANICAL / PLUMBING / SIGN /�INKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />Ey 3200 CEDAR STREET, EVERETT, WA 98201 <br />(P1 425-257-8810 I FAX 425-257-8857 I(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />BUILDING PERMIT APPLIGATION - <br />Contract Price of Work� $ � � � �-' `�=� <br />Existing Use of Building. <br />Proposed Use of Building: Heat Source: ❑Gas ❑Electric �Other_ <br />Building Type� �1SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition �Chanc <br />DESCRIPTION OF WORK: t <br />�Q Z l l G' l.' ! i b 1`� Z,�- C'c %� 5� j L 1 S��� f 1 � yG� v� � J Ut-� i,(.i <br />t 2 ¢ �' -�'b'�^ � '� � 2 c. � <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />❑industrial <br />of Use <br />ACKNOWLEDGEMENT.• 1 have reviewed thrs application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br />current federal, state, and local law. The granting of a permif only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the <br />Building O(ficial before being authorized under any crrcumstance. I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, <br />and 1 com,olv with the State Contractors Law 18.27 RCW and 296.20oA WAC. <br />�--fi <br />� � : �( <br />City ol Everett O(ficial Use Only <br />PERMIT # �^ � <br />� � l � L� <br />Date (Revised 10/12/2015) <br />�� <br />