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( <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everellwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 1 a�../oa/ II <br />ADDRESS: <br />ol Evt�cp,2 �-v <br />TA% a <br />lor new :onslruclion: Short PleVsubdivislon Lol No._ (atlaGi copy af long Icgal descriplion) <br />Cc�.�T�rZ <br /></(�5 % ✓Il <br />naa«55 �O Pr�X '�Il o Sea��t �,�...� g�"/D 3 <br />TENANT BUSINESS NAME �� <br />�/G 0/%� Ph <br />BUILDING PERMIT APPLICATION �� <br />ExistingUseotBuilding %ic��J Oc�- !'.�4�"r %�-v4tiT/ <br />I Lic. # <br />n} <br />PRICE OF WORK <br />L/ <br />2�GN�/, �far-�9y-8Yav <br />N2r-�94 •.��/Z� <br />�_� it i2� S- T✓�l.v �%. [ <br />Proposed Use of Building iv0.v E( C�e�U n �'� i� � Gas_ _ Eiectdc_ Olher_ <br />Building type: _ Single Famiiy _ Duplex_Townhouse _ Mul�i-Family � Commercial <br />Type o( project: _ New _ Addilion _ Remodel _ Repair� T.I. _ Sign _Sprinkler_Derr,olilion_Change of Use <br />Descriplion af Work (edditionnl space provided on the back�: D C �i� J �C x�� � ��� 1 ti� �L ,7 „e (ti ht l L fJ /�G Nlp yb <br />r x„�,.,-� /T1.7�,�i„ cl� c�,,t�w�._l�1 i-�qi/ ,v�c `f� /4�r <br />r}.�,o ..vc� c,�.�=���-Il <br />Have you started working without a pertnit7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />o(ProJnct: _Naw_Addn _Alloration_Rapair <br />ShowNumbcr(NI o/flxturcs <br />RINSCLER / <br />i <br />PLUMBING PERMIT APPLICATION <br />ofProJuct: _Now_Addn _Alteralion_Repair <br />Shew Namber /pl ollixtures <br />Medical Gas <br />Olher. <br />� I Number of Heads I I � ""'r'. <br />I hereby cetlify Ihal I havo read and examined this applicalion and know Ihe same io bo true and wrrecl. All provisfons of lacrs and ordinances goveming <br />Ihis typo ot work will be complied with vrhether specifed herein or not. The gra�aing ol a permit does not presume lo give outhonry lo vioiala or cancel <br />the provision of a other sleto or local law re9ulating construction or Iho perlormance of construction. That I am authorized by the owner of Ihis property <br />to perform Ihe ork for which application Is made and 1 comply with the Slale Conlractors Law 10.27 RCW and 296.200 WAC <br />/ ' / <br />NAulhor zad Agont Slgnature Dalo (Revisad Zl1017) <br />