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\ <br />PERMIT APPLICA�ION <br />BUILDINGIMECHANICAUPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everedwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: PROVENT�' TA)( p PERMIT p <br />fornewmnsWUion Short <br />4405 103RD AVE SE LAKE <br />BELMONTE <br />ILDING PERMIT APPLICATION <br />Use al BuAding <br />�t No _(atlaUi mpy af lonp legal tlesuiplron) <br />nan 425334-6834 <br />zv LAKE STEVENS, WA 98Y58 <br />� O I• 0 L <br />PlroneJE mail 42 5- 334-6834 <br />:T FOR PERMIT <br />�an <br />�CT PRICE OF WORK <br />r..cW use al euilding SAME __ � Gis Electnc, ome�y <br />ng type. _ Single Famiry _ Ouplez _Towohousc _ Mulb�Family _ Commercial <br />o( proied. _ New _ Addilion _ Remodel __ Repair _ T.I. _ Sign _Sprinkler _Clemoldion_Change ol Use <br />�iption ol Work faatlmm�a� sparr pmvb� on �De nackl . <br />SAME <br />you etarted working without a pertnit7 _YES _NO <br />MECMANICAL PERMIT APPLICATION <br />Typc ol ProJect: _Ncw _AtlAn _Altcratlon _Repalr <br />Show NumDer (NJ ol flrturas <br />AJC — air Aand6ng unAs <br />Forced air svstems <br />Other <br />PLUMBlNG PERMIT APPLICATION <br />ol Vro�ect: _Ncw _AGEn _Alteratlon _Repsir <br />Medical Gas <br />OIhC� <br />I hrrrhy n:Nly Ihit I havc rritl and e�ummed Ihis npph��tron e�M knrnv Ihc sime lo Ac tiuc nnd mnM All pronsrons nl L�ws antl adinances povemmg <br />I��s lype ol rqd vnll bc mmpl�eA M+t11 vdMt�cr spCaScG hemn or no� The gnln6ng ol a pCmnl Coes nol pmsumc lo qlvC aW�onty to v�Wato or randal <br />I�e provis�on ol any ot�er stale o� �oral law regulatinq conslrucUon or I�e perto�mance ol conslruWon 71iat 1 am aulh�naG Dy l�e m�nM ol Ihia propmty <br />io per�ortn Ine MOM lor whrcl� apd����on is matle antl I comply wM tlie Slate CanVaclors law 1B 27 RGW an0 296 700 WAC <br />���/!� <br />nerlANhorliedAgeMSlgneWre T D:IIP. (H9V�SfAi/IOII) <br />