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PERMIT APPLICATION <br />C�n�,��� <br />Oc,vnerrh��� <br />ElUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVEREIT PERMIT SERVICFS <br />x 3200 Cedar St., Everett, WA 98201 - 425-257-�i810 — FAX 425-257-8857 — www.everettwa org <br />APPLICATIONS ARE AC�:EPTED FNOM B AM T04 PM <br />���.......��e. TDNOVERTVTA%N PFRMITN _ � <br />lur new wnstrur.iqn Short PlaVsu00rvision_. <br />:s <br />BELMC�NTE <br />SE LAKE <br />PERMIT APPLICATION <br />' ot No _ (atlaCh Copy o1 Ipg legal OeSCnplion� <br />ma�i 425-334-6834 <br />•�ziv IAKE STEVENS, WA 98258 <br />a • mML <br />Phon±iEma�l 42 5 -334-6834 <br />CT FOR PERMIT <br />mal <br />Y�CT PRICE• OF WORK _ <br />ng Use ol Building _ SQyF <br />i5ed UsP, of Building_ CAME Gas Eleclnc Olher <br />ng rype: _ Smgle Family _ Duplex _Townhouse _ Multi�Family _ Comme¢ial <br />ol pmjecf. __ New _ Addition _ Remodel _ Repair _ T I_ Sign _Spnnkler __Demoli�ion_Change of Use <br />�ip�ion of Wodc (adArt.mal space pmvKlcd on fho DacAl �. <br />SAME <br />you started working withoul a permit9 _YES _NO <br />MECNANICAL PERMIT APPI.ICATION <br />ol pro�oct: _New _Adtln _ Allerallon _Repelr <br />S�ow Number (�) o/liifwes <br />A/C - air handhng units <br />Forced art svstems <br />healer <br />SPR <br />PLUMBING <br />ol ProJect: _IJew _I1Utln _Allerotlon _Repair <br />SM1ow Numbn f�l ol /Irfuies <br />s�nk <br />washer <br />Grease trap <br />Roof tlrains <br />Medical Gas <br />Other <br />I Number ol Heads I I �mer <br />I nereby cer�ity IIIAt I nave rcad a�� ecamin1911his applitdlion end knOw ihe same �o De IrUe an0 CorrM All prov�srons of IaNs ana ordinancls goveming <br />ihis type nl nork v.+ll �e comN�M with vdiel�er spenhea herein or rrol The qrnnUrg ol a pennit aoes not presume lo give authonty to vioiate or caritel <br />Ibe pruvis�cn ol Bny oR�Pr Stale or local la+'regulating consliud�on o11he pedormanCe o� Urnstnuiron Thal I am aWhoflZM by Ihe bM�er of t�is pfoperty <br />In perlorm Ihe work lor vrtuCh af�D��4�i�on is ma0e antl I comp�Y M+�h Ihe Sla�e ConlrJc�or! LaW 18.^7 RCW antl 29B 200 WAC <br />2,�.,.-�,.o � 3/ �� <br />nerlAu��otl:etl Agenl Slgneture Dale (RBwsed7/1011) <br />