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P�RMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITIQN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED fROM 8 AM TO � PM L D� <br />�nno�cc• VPOPERiYTAXN PERMITM . <br />newconslnxl�on Shon <br />BELMONTE <br />!L'L1�7 <br />4405 103RD AVE SE <br />8 I Lic k <br />E STEVENS. WA 98258 <br />PERMIT APPLICATION <br />Existing Use of BuiMing <br />No <br />(anaUi t(py ollong Iegal0o5criDUon) <br />42 <br />PRICE OF WORK <br />ProposedUseolBuildmg SAME � cas tiecmc t�mer <br />BuilAing type� _ Single Pamily _ Duplex _Townhouse _ MuI�i�Family _ Commercial <br />Type of Droject. _ New _ Addition _ Remodel _ Repair _ T.1 _ Sgn _Sprinkler _Demolition_Change of Use <br />Description o1 Work �aticlrtwnai spacc wov10ea on mo DacA) <br />SAME <br />Hava you started working withoul a permll? _VES _NO <br />MECNANICAL PERMIT APPLICATION <br />Type ol ProJect: _New _AtlOn _Altentlon _Nepalr <br />Show NumDer fM) o! ftrfuree <br />A/C - au handluw unRs <br />Gas ran <br />Clothes <br />1 <br />PERMIT <br />ol ProJect: _New _AtlUn _Alleratlon _Repal� <br />Show NumDer (N) a! fl+turos <br />Showef <br />healei <br />Medical Gas <br />Other <br />Olher <br />I herebY �'endy Ihal 1 have �ea0 and ecamined tlus appin:Bi�on and nnow ihe Sdme Io OC INB anA CArrCCI All DfoVi5qn3 ol'aws eiW oramancee govemmg <br />�n�s Iype ol �rk vull Ge comphM w+Ih w0ethef SpecihM herem a nol i7M gfanlup ol a pertni� Oces nol yesumo 10 B�ve eulfanly to Valate Of wncel <br />Ihe pmvision ol nny olber s1ale or local law regulatrtg rnosln�cl�m or Ihe perlortnance ol constmclan i�al I am Buthonze� by Ihe w.ner W Ihis D�PehY <br />lo peAorm �he nork for v.n � aDD���tion is maAe ana I mmplY vnlh Ihe Slnte Conlractors lew 18 P ftCW aM Y9B 200 WAC <br />O er��+eAA entSlgnatur�" ,I Date. I�v�SedYt0f1) <br />! <br />