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� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOL(TION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.9rg <br />'�- � 7 S APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM %YI I �I / 11 <br />U"' � <br />for new wnstruction: ShoA Plallsu6division Lol <br />�.�. ixr 3zc5 <br />�t.���c,h-� �Un� ��,er5 <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />��aiuc.0 <br />l �30 �3 <br />� I Y I 1 I ��L_ <br />i._ (atlach copy of long legal descnption) <br />,�NINEHC`I(�Q�! <br />PhonelEmail 9 z�'- �'� � - /2 �3 <br />ORPERMIT��ie��� �I�(.IcY <br />��z5-6z�•ITy3 � Te�e��� �cJCfm-4 <br />PRICE OF WORK � <br />roposed Use of Building � Gas_ Eiecmc_ otner <br />uilding type: _ Single Family _ Duplex _Townhouse _ Mulli•Family _ Commercial <br />ype of project: _ New _ Addilion _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />�e5criptionofWork(eddifionalspacepmvidedonlheback): �X.�f�� �kl,}nn� C��Ci�W.`Jk �0 Pfei- -{0 5er� � <br />n�w ��-y �:I�t a� adc� I nck� �F�,Yn a,� 1ti�ans�cr �rll�2 <br />'ave you started workin� without a permil? _YES X NO <br />MECHANICAL PERldIT APPLICATION <br />of Project: _New_Addn �Alterallon _Repalr <br />Show Number lp) ol /ixfures <br />NKLER/SUPP <br />PLUMBING PERMIT APPLICATION <br />ofProJect: _New_Addn _Alteratlon_Repair <br />Medical Gas <br />Olher: <br />Olher: <br />I hereby certify thal I have read end ezamined Ihis apFlicnlion and know the same lo be true and wrrect. All provisions ol laws and arUinances goveming <br />this rype of vrork will be complied with vfiether specified herein or not. The graming of a permit does nat presume lo give authority to violete or cancel <br />Ihe pmvision of any ot�er slate or lowl law regulafing r.onstruclion or Ihe pedormanco ol wnsWction. thet I em authorizeA by lhe ovmer ol this property <br />lo pertorm 11 work for which application is made and I comply with Ihe Stele Conlractors Law 78.27 RCW and 296.200 WAC <br />CCII � �tG�L� �Z"��i��� <br />Own IAuthori EdA :ntSigwWre �ate (Revised?2011J <br />