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PERMIT �►PPLICATION <br />BUILDING/MECHANICAL./PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT P@RMIT SERVICES <br />3200 Cedar St., Everelt, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: PROVEr,7y TA%p PERMIT � <br />�/I)I�i � x2xc 1�-�f<_�.., '�t L.�l\i;�-o <br />for new construction: Shor1 <br />� � ,, <br />l(�s�' <br />BUILDING PERMIT APPLICATION <br />Use ol Duilding <br />L81Lic.# <br />No._ (atlath wpy of lonp lepal description) <br />Phone/Emall <br />PRICE OF WORK <br />HEATSOURCE: <br />Proposed Use of Bwlding � Gas Eiectnc Other <br />Building type: _ Single Family _ Duplex _Townhouse _ Mulli-Family _ Commerciai <br />Type of project: _ New _ Addition __ Remodel _ Repair _ T.I. _ Sign _Sprink�er _Demolition__Change of Use <br />Description of Work (additional space provided on fhe back): <br />' '.' 11�✓�✓�1 vl� '�1'l'i �S��ifG � �L.J � �"" '�. <br />Have you slarted working without a permit9 �[LYES _NO <br />MECHANICAL PERMIT APPLICATION <br />of Pro�oct: _Nuw_Addn _Alloratlon _Repair <br />Show Numbcrlpl ol /ixfures <br />SPRIWKLER / � JPPRESS!ON SYSTEM <br />NumberolHeads <br />PLUMBING PERMIT APPLICATION <br />ofProJect: _Naw_Addn _Alteratlon_Repalr <br />Show NumberlMl o/7xtures <br />Medical Gas <br />Olher: }:ii;(,��nG � <br />I hemby cedify Ihat I have read and examined Ihis applicatlon and know Ihe same lo be true and corzecL All provisions of laws .�nd ordinanccs goveming <br />lhis type of work will be complied with whether specified herein ot noL The granting ol a pertnit does not presume to give aulhorly lo violate or cancel <br />Ihe provislon of any other state or local law iegulating conatructlon or �he pertormance ol conslruclion. Thal I am authon:ed by 1he owner ol Ihis property <br />to pedorm the work for wh�ch applicalion is made and I comply wilh the State Conirectors Law 1B 27 RCW and 296200 WAC <br />�I <br />(Revised 2R011) <br />