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1 � �y7--�D <br />rERM1T APPLICATION <br />BUILDINGIMECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 47_5-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM <br />tor new wnstruction: ShoA Plat/subdivlslon Lot No._ (attach wpy ol lonp leqal Cescripllon) <br />� �Q/�,./t"L�S �-�/ Phone/E-mail �25 ��LZ— �y�7 � <br />6G(i /�i. ��1��✓✓/'t"'�l City/51ate/Zip ��/GiL� ( 1 � �rT �L Z� � <br />8 I Lic. # <br />C� �� ��� r � <br />BUILDING P�RM1T APPLICATION <br />Existing Use of Building �� <br />�posed Use ot Building��v�G�i <br />ilding type: _ Single Family _ Duplex _Townhouse _ Multi•Family <br />pe of proJect: _ New _ Additlon _ Remode� _ Repalr _ T.I.. <br />scriplion of Work (addifional space provided on fhe back): <br />f�'•! ��(�f �✓� �bV� iJ V <br />you started working without a permil7 <br />MECHANICAL PERMIT API <br />_YES _NO <br />o(Project: _Now_Addn _Alteration_Repalr <br />ShowNumberlNl ollixfures <br />Heatls <br />�Z.S -3z2- � <br />PRICE OF WURK <br />HEATSOURCE: <br />Commercial � <br />Sign _Sprinkler _Demolitlon"Change o( Use <br />PLUMBING PERMIT APPLICATION <br />ofProJect: _New_Addn _Altentlon_Rapalr <br />Show Number (M) o/ flrtures <br />Other <br />I hereby certily Ihal I havo read and examined Ihis application and know Iha same �o be Irue and correct. All provlsions of laws anC ordinances goveming <br />this type of work will bo complied with whelher specifed herein or not. Tho granting of e permil does nol presume lo give authori�y to violate or cancel <br />iha provislon of any olher state or local law rcgulaling conslruction or the pedormance of consiruction. Thal I am aulhodzed by tho owner of Ihis 9roperty <br />�o pedorm. he work ( r which applicafion Is made and I comply wilh the State CoNraclors Law 18.27 RCW and 296.200 WAC <br />[/,J/�/�`(1�1$-t� �� `'7-lb <br />OwncklAulhodzed Agent Sl�naluro Date (Revised 17/70f0) <br />