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PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />� I., 3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa org�y <br />� �"� APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM U/`(%- 6/lI <br />�El�D6RESS: ` . CyC�2117� D./i'j PROPERTYTAXp_ _ _ _ _ �' ^ P6RMRp <br />.... // , i � � . /) <br />fornowconsWCUon: Short <br />� <br />�NfLli+t1`� ���Gri£!�� <br />BUILDING PERMIT APPLICATION <br />No._ (ettech copy of Iong Ingal tlescripllon) <br />Z(�L.l� <br />KtY�N <br />PR�CE OF WORK c]j ZI� Oc' ^ <br />wsling Use of Building (A�7 I..�FY!!_H4/; S HEAT SvU CE: <br />roposed Use of Building (.L�F��-Ml L. �A4Gtkf/LS Gas_ lectrlc _ Othur_ <br />uiMing type: _ Single Family _ Duplez _Tavmhouse _ Multi-Family � Commercial <br />ype of proJect: _ New _ Adtlition �, Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />iescriplionofWork�ntlditionalspacopmvidedonfhobackJ: D£.,„�O�L �?r�3YiN(r (ry�LiG�tT ��A7Cf/Fl�us Cfiy�'E.G <br />�l �J <br />�l/�lf,,,, Fy�:a,�„✓� P.�,..r-r� Fvi-...�,7✓.e£� Ao0 iti9oP SiNK� [? i<4 5>o�.9GE, /wvi✓I <br />you started working without a permit7 _YES <br />MECHANICAL PERMIT <br />PtoJect: _Now_Addn _Alloratlon_Ropalr <br />ShowNumbor!#) o/flxtuias <br />SPRINKLER <br />Other <br />Number of I <br />PLUMBING PERMIT <br />o1ProJoct: _Now_Addn <br />Show Numberlp) <br />Medical Gas <br />Olher: <br />Other: <br />I hereby wrtily �hal t havo road and e.amined lhis eppliralion and know No same lo bo Wo and wrtecl. All provisions of laws entl ordinanws govemmg <br />tnls lypo of v.ork will bo co lietl wlth whathor spocifiod hercm or nol. TTo granting of a pertnit Eoes not pmsuma to give authonty to vlolale or uncel <br />tho provisio of eny oth tato or local law mgulating cons:ruction or the poAortnanco of consWclion. That I am authorized by lhe owner ol this property <br />to pedo ha work ich upp6wuon is muda antl 1 comply wiN lhe Slate Conlracrors Law 78.27 RCW ond 296.200 WAC <br />' /�1. S ! <br />OwnnrlAuthorl ud Agent Signaturo Da10 (Revised 2/2017) <br />( p,M <br />