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�PERMI� APPLICATION <br />BUILDING/MECHA!'�ICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM �� a�j-- I/ <br />� <br />/o/ - Oo/ <br />LEGAL for new construcllon: Short PlaVsubdivision � Lol No._ (attach copy of long legal descriplion) <br />OWNER <br />u <br />BUILDING PERMIT APPLICATION <br />S�z S �G � S <br />.:/.�ie/7` Gt//9 <br />yZS 7�/ �S�lo <br />PRICE OF WORK <br />Exisling Use of Building HEAT SOURCE: <br />Proposed Use of Building T/9 Ma��� C S� r✓P (.O Gr? Gas Electric Olher_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Mulli-Family „� Commercial <br />Type of proJect: _ New _ Addition _ Remodcl _ Repair _ T.I. _ Sign _Sprinkler _Demolitfon_Cliange of Use <br />Descriplion of Work (addifional spac� videdon Ihe back);�� � <br />s <br />�� �,.e � 5 c� ^ <br />Have you started workfng without a(�ermil9 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />ofProJoct: _Now_Addn _Allcratlon_Ropalr <br />Number <br />PLUMBING PERMIT APPLICATION <br />ofProJocl: _Now_Addn _Alloration_Ropair <br />Medical Gas <br />Olher <br />I here6y cedify that I ha�e read and ezamined this applicallon and know iho same lo be Wo and co«ecl. All provisions of laws and ordinances goveming <br />Ihis lype of vrork will be complied vAfh whe�her specifed herein or noL The pranting of a permil does nol presume lo give au�t�rily to viola�e or cancel <br />Ihe provision of any other slalo or local law regulaling cons�ruclion or �he peAormance of consWdion. Thal I am au�honzed hy Ihe owner of �his propetly <br />lo pertorm Ihe work for which appiicalion is made and I comply wilh ihe Sla(e Contractors Law 1927 RCW and 296200 WAC <br />.: � �� /y'" ..- -�`. �Z�� � %oi/ r C..� <br />l % <br />OwnedAutho iiedAg SignalUro`" �ale (Revised 01 <br />