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. .''.. , . ' . . _. <br />;: <br />� , PERMIT APPLICATION <br />BUILnINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF tVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 42.5-2u7-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TG 4 PM <br />ADDRESS: PROPERTYTAXtt P MITp <br />� n'7/1 C .... _ ..,.,. l, 1... i �,rri.c���...^�ni in.� ///1�n � /,�n' <br />lornewconstruction: Short <br />P�� <br />BUILDtNG PERMIT APPLICATION <br />Use of Building <br />(i Lol No._ (ntlach copy of long legal tlescription) <br />� `� Phone/E-mail <br />c�ry,s�a��,z;P F � / _ <br />n C7 <br />L81'_ic.# j'� L .y..('� <br />�QYy�(j (.�,/7 �18Y�� Phone/Email,1 ; -�/7 j'�j�2j (' jQ <br />Cg NTACT FOR PERMIT /; <br />CCiel �`l T /_Ur' �ornic vu- <br />PhonclE-mail ,�� i- '".7�:� -1'1,"�� <br />CONTRACT PRICE OF WORK�J I U��I I I��-i�i <br />HEAT SOURCE: <br />ued Use of Builtliny � VJS_ CICIIIM1� -� <br />ng lype: _ Single Family _ Duplez _Townhouse _ Multi-Family _ Commercial <br />ol projecl: _ New _ Addition _ Remodel Repair_ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />riptionofWork(oddi(ionalspacopmvidedonthoGack): � �j��.�uR.fJ� i;1 3yC1S'4+� .�-.�10��'��71' lYtc7n�1`'+�s�crfl. <br />i� <br />Jziv (�a:�ne.l �tkr� cu,cl loy� U%allS��,�n L�� f�TM �'C'r�C�-•'�� <br />.. <br />you started workinc� without a pertnit? _�ES �NO <br />MECHANICAL VERMIT AFPLICATION <br />ofProjecL _New_Atldn _Alleration_Repafr <br />.ShnwNumbcr!#1 o/fixfures <br />lothes <br />Other <br />NKLER/SU <br />PLUMBI�IG PERMIT APPLICATION <br />ofProject: _I:ew_Addn _Allcra�lon_Repalr <br />Show N�mberlpl ol fixtures <br />Medical Gas <br />Other: <br />I hereby cenify Ihat 1 have read and examineC this application and know the same to be we and correct All provisions ot lam and ordlnances goveming <br />this rype of wnrk vnll bo romplied with whother speciGed herein or noL The grant�ng ol a permit does not presume to give authoriry to violate or cancel <br />tho provision ol any other state or local law regulating consW ction or the pedormance ol constmction. That I am authonzed by Ihe owner of Ihis property <br />to pedqm the xo for which � pliwnon is made antl I wmply wilh the State CoNractors Law 1827 RCW and 296.200 WAC <br />L! �, %��L_ �_�%'� �' - � -�� <br />OwnerlAulhorized A nt Sign�tum Dale (Revised?/2017J <br />� <br />7� <br />