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� <br />PERMIT APPLICATION <br />�UILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />IDDRESS: �. ._ PROPERiY TAR p PERM1T R,,_,,. <br />(or new conclruclion: Short <br />Y <br />LDING PERMIT APPLICATION <br />L 8 I Lic. # <br />No._ (altach wFY of long Icgal descriplion) <br />»ic <br />PRICE OF WORK <br />Exisling Use of 8uilding ES��.�i0 S�11N17 HEAT SOURCE: <br />Proposed Use of Building �6� �6 �TAN'� Gas_ Eiectric ✓ O�her_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Mulli-Family �Commercial � <br />Type of project: _ New _ Addition _ Remodel _ ftepair _ T.I. _ Sign _Sprinkler _Demolition ✓Change of Use <br />Description of Work (add��ional space provided on the back): <br />�X �� <br />� <br />you sta�lcd working willioul a permil7 ✓YES _NO <br />MECHANICAL PERMIT APPLICATION <br />ol Pro�ocL• _New _Addn _AlMratlon _Rapalr <br />Show Number (M) ol Gztures <br />4T _ oir hnnrllinn unile <br />SPRINKLER/SU <br />NumberofHcads <br />PLUMBING PERMIT APPLICATION <br />ofProJocl: _Now_Addn _Alterotion_Repair <br />ShowNumberlMl o/flxfures <br />Medical Gas <br />Other: <br />Other: <br />1 hereby ceAily Ihat I have read and examined Ihis appliwtlun and know the same to bo Irue and coRect. All provisions ol laws and ordinances goveming <br />Inis rype of work will be compiled wilh whMher spec:fied herein or not. The granling of a permit does nol presume to give aulhori;y lo violale or wntel <br />ihe provision of any olhr.r stale or lowl law re ulaling consWction or Ihe perlormance af consimction. Tha� I am authorized by Ihe owner ol this property <br />to peAorm Ihe work lor which ap 1 ion is mado nd I tomply wllh the Slale Contractors Law iB27 RCW end 298100 WAC I/ I� <br />�I <br />� �� <br />OwnorlAulhodzed Ag n 5�. aturo — ale (Revised 2/20f 1) <br />