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PERMIT AE�PLICATI�N <br />BUILDINGIMECHANICAUPLUIWB�NG/SIGN/SP�2INKLER/DEMOLITION <br />ClTY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-3857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM / d�;/ ��II <br />0. <br />lor new constructlon: Short <br />dresa <br />LDING PERMIT APPLICATION <br />Use ol Building <br />,/ PROPE TYTAXN r m�� <br />V• BOSOr100/0 00 - <br />Lot No._ (ettach copy oi long legal descAptlon) <br />PhonalE•mail <br />CitylSla�a2lp <br />L&ILic.# <br />r Phone/Email <br />NTACT FOR PERMIT EUER,S��✓�'�YQA� F5 y N. <br />PhonelE•meil <br />��s'as8 �%f a,e Y�t9�3-yss-g �o� <br />CONTRACT PRICE OF WORK <br />�sed Use of Building � ""'— "`"„"'— - — <br />ng lype: _ Single Family _ Duplex _Townhouse _ Mu�ti-Femily _ Commercial <br />ol pro)ect: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />nption of WaAc (eddifionel spece piovided on the back�: �� � <br />J�r d-�"s`_" � � <br />you sWRed work�ng without a partnil7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />ofProJect: _New_Addn _Altoration_Ropalr <br />NKLER <br />PERMIT APPLICATION <br />o( ProJecl: _New _Addn _Altaratlon _Repalr <br />ShowNumberlNl olflxNres <br />Medical Ges <br />Olher. <br />1 hereby cerfify Ihat I have rxad and exemined lhis applicatlon and know the same lo be true and cortect. All prov�sions ol lews end ordinences Boveming <br />Ihis lypa of work will be complied wi�h whether specifed horein or nol. The pran�ing ol a permil does nul presume lo give authori�y �a vlolale or cancel <br />Ihe provislon of eny olher slalo or local lew regulalinq construclion or the pedormance ol conslructlon. That I'�m aulhodzed by �he owner af ihls pmpeAy I <br />lo per�orm �ho work lar which appllcation is mede end 1 comp�y with Iho S�ale Conlrectore Law 18.27 RCW end 298.200 WAC � 1!� <br />l <br />OwnorlAulhorizad Agant Slgnelure Dale <br />(Re �ised 7/2011) <br />