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PERMIT APRLICATION <br />BUILDINGIMECHANIC:A�LIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 96201 - 425-257-88 � 0– FAX 425-257-8857 – wvr�veverettwa.org <br />ppPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM 4�- a-I ` I I <br />���� PROPE7RIYJ � a. PERMIT Fa rl n� A/I <br />!i ti(.// �-f� G� <br />�, a . �`ve �-r ��� �° �� ) a � -� o <br />4L lor new construction: ort PlaVsu6divislon___ Lol No._ (altach copy o( lofg legal desuiption) <br />nn _. ._. ..e� � i� /i• In � onnnn/F-mail Aa�-7 � S• I SDV/ 1 1"CICAI� G(�II�SI�l7f.�I <br />l <br />�� <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />� <br />"ACT F ���c?ERMIT <br />�PDI � �f--kR-, r��T 42? 3�ils <br />IE-mail <br />�RACT PRICE OF WORK -L� L-�7 f'ya ��S , p I;O <br />r� — <br />� HEAT SOURCE: <br />Proposed Use of Building'^�+"�`- ` ' �' • • • �-�" • "'" `• ^ — - <br />6uildinglype: _SingleFamily _�uplex Townhouse _Multi-Family �Commercial <br />Typao(projec4 _New __Addltion _R?model _RepairT T.I. Sign_Sprinkler Demoll0on_Chapge ofUse <br />lt�. � A Silik IS �QI,U�'("1'6_i1�Q 't,t��l� <br />DeSCtiplion f ork (addlional ace provided on tho Gack)' }�f�l . l - ' . � <br />S nL tl,� �u ��`� uiu+e � p� � u�� 11 �!� �ttn v�v� 4� att •r, ��u. t� , �`� � <br />-h,��rn,�(��x�u��� , -����1('��-, —1L` �C�h1}��F•Ei QS l,C�.d�.1�1� �P1� s��� �� <br />�Have you staAod working without a permit7 _YES �NO �� y('(,L�- �( [L ( 1 1 <br />MECHANICAL PERNIIT APPLICATIOP! PLUMBING PERMIT APPLICATION P(v <br />TypeofProJoct: _Now_Addn _Altoratlon_Rapair TypeolProJect: _�ow_Addn _Altaratlon_Repair � <br />e�,,,w w,�„n.. �a� or nsmms <br />Other — <br />NumCor o� ans — <br />I I��areby ��:tity thal I nave read and examined lhis appliwllon and know Ihe samc lo be Ime antl corted. All pmvisbns of laws. nd ordinances go•�eming <br />t:,,, rype of wo�k vnll be compl�ed vrilh whether specifed herein or not The granling of a permit does nol presume lo qive authoriry to violata or cancel <br />in�: ;,mvision oi any ather slote or local law regulating consWction or the paAormance ol constmction. That I am authorized by the owner ollhis propehy <br />tn padorm I�e work lorwhich appllwlion is matle and I compry with the Slate CoNraclo�s Law 18.27 RCW and 296.200 LVAC <br />�l'µ Jr� ,R�„5�a,�o,� <br />�'�.... __<<-� ����-���c�r�-�---( , <br />Dato <br />OwnedAuth dzodAgmitSlgnaWre '� <br />