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PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERYICES <br />3200 Cedar St., Everetl, WA 98201 - 425-257•881 U— FAX 425-257-8857 — www.everetlwa org�O�/z <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM G <br />enno�cc• PROPEIfTYTA%/ PERM� _ �,� <br />IornewconstnxUon Shat <br />PEtiMIT APPLICATION <br />No _ �anaU covr o� any iegai xsrnWion� <br />�^ q25-334-6834 <br />v LAKE STEVENS, WA 98258 <br />�L <br />PnonrJFinal 47 5334-6834 <br />� FOR PERMIT <br />ul <br />�T PRICE OF WORK __ <br />ng Use ol8wlding ceMG � HEAT SOURCE: <br />ned Use o1 8uilding SAMF Gas EiMnc_ Other_ <br />�ng type. _ Single Family _ Duplex _Townhouse _ MuIU-Family _ Commemial <br />of projed�. _ New _ Addition _ Ramodel _ Repair _ T.I. _ Sgn _Sprinkler _OemoGtion_Change ol Use <br />np�ion o( Work (etldrtronal space provMetl on (he Dack) <br />SAME <br />you startad workinp withoul a permll7 _YES ._ NO <br />IT APPLICATION <br />Vro�ecl: _New _Addn _Alleratlon _Repalr <br />Show Numbr (MJ of flrturas <br />AIC — air haMlma unrts <br />Gas <br />hC1�Cf <br />hood <br />Number of <br />PLUMBING PERMIT APPLICATION <br />ol Pro�ecl: _New _AdEn _Allentlon _�tapalr <br />ioilet <br />sink 8 <br />Medical Gas <br />aner <br />I he�eDy cetliry Ihat I have �ea0 en0 ezamined Ihis applicalion arW krww Ihe eame to hn Irue anU coned All pmnswna ol laws anU ordinances qoveming <br />tnis tv{�e ot Mu�k vnll Oe comW�eO wifh wt�ether speuhe0 narein or nol The Branling ol e permit Aces rwt presume lo grve authwiry lo vrolate a can�xl <br />the pmvis�on ol any olher slate or bcal law regNati�g conslnxlion or Ihe pertormence M mnstmctan That I am eulhonie0 by Ifie wrt� of thi9 propetlY <br />lo perlorm tbn worF 1or �M¢� epp��Utan �s ma0e ana l rnmdY ��h �he State Cont2clas Law 18 27 ftCW erb 2BB 200 WAC <br />i'C����___-�� ,.`��3�!( <br />Own Mulhodaetl Agon� S gn�ture Dale (RevisBC7/20111 <br />