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�/���-�� <br />'Iw� <br />�� <br />�� PERMIT APPLICATIO ' <br />BUILDIN�VIECHANICAL 1 PLUMBING / SIGN�RINKLER / DEMOLITIOIV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />fP) 425-257-8810 I FAX 425-257-8857 I(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />' BU(LDING`PERMIT APPLICATION ': _- ' ; I <br />se of Buildin� <br />Use of Buildi <br />Building Type: �d'SFR-Detached u51-K-Httacns <br />Type of Project: ❑New �Addition Remodel <br />DESCRIPTION OF WORK: � <br />2 ��I �CL��`� <br />�ASSOCIATED BUILDING PERMIT # (if applicable): <br />❑Duplex ❑I <br />C]Repair ❑T.I. <br />U� �—V'` t � �( <br />_l <br />Contract Price of Work: $ <br />Heat Source: ❑Gas ❑Electric OOther <br />lulti-Fami�y-# of Units: ClCommercial ❑Industrial <br />❑Sign �Sprinkler ClDemolition ❑Change of Use <br />�;�.t (�- �' � �u.�.� i �< <� -� i y: � `�, f'e_ 5 , <br />ACKNOWLEDGEMENT.• 1 have reviewed this application and confirm the information contained herein is true and cor�ect. Work done pursuant ro tn�s permrc musr compry wiui <br />current federal, state, and /ocal 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 Official before being authorized under any circumstance. 1 am the owner, or ! am authorized by the owner of this property to pertorm the work fo� whrch application is made, <br />and I comp/y with the State Contractors Law 98.27 RCW and 296.200A WAC. <br />/ <br />� <br />�� <br />%Z Z� <br />Date <br />C <br />Gty of Everetf Off�cia! Use On y <br />PERMIT# <br />i �����✓�'�` <br />(Revised 10/12/2015) <br />� l� 2 <br />