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eu <br />� <br />PERiVIIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 93201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa rg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � �L <br />ADDRESS: PROPERTYTA%p PERMIT# n/ � <br />,!7, r-+ <..,, r.'_ _„ ,_ 9_/fe.. 7_n� r n76o 2nh/bV /li /���'//(/�✓ <br />lor new conslrudion: ShoA <br />/�.✓L /%W,/�.�UJ� <br />NG PERIJIIT APPLICATION <br />Use of Building <br />Lol No._ (atlach copy ol long legal description) <br />ionelE-meil ' <br />Iy/Slale2ip �(/�Q/y���, W,� / cPZ03 <br />&ILic.# <br />PhonelEmeil <br />DNTACT FOR PERMIT �� ��� � ��y, <br />ione/E-mail (�(�W�2i o�Oc' � � � l:y ���/ � <br />ONTRACT PRICE OF WORK� <br />HEAT SOURCE: <br />ised Use of Building � oas_ ��r�����_ .,�����_ <br />ng type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />o( project: _ New _Addition _ Remodei _ Repair_ T.I. _ Sign _Sprinkler_Demolition_Change of Use <br />'iplion of Work (additionel space provided on fhe 6ack): <br />;Yp�s �� hno� <br />you staAed warking wlthout a permit? _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />otProJect: _Now_Addn _Alloralion_Ropair <br />Show Number (p) o/ Iixfurcs <br />A/r — air handlino units <br />Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />of Heads <br />PLUMBING PERMIT APPLICATION <br />ofProJecl: _Now_Addn _Alteration_Ropalr <br />Show NumberlN) of �xf�rcs <br />Medical Gas <br />Other: <br />Other. <br />I hereby cehify Ihat I have read and examined Ihis applicalion and know Ihe same lo be true and conect. All provisions of laws and ordinances goveming <br />this type of work vnll be complied with whelher specified herein or nol. Tha granting ol a permit does nol presume lo givo aulhonty lo violate or cancel <br />the provision of any ather slate or local law regulaling conslructlon or Ihe peAortnance af construclion. Thal i am authorized by the owner of Ihis property <br />to peAorm Ihe work for whlch applicallon is made and I comply wilh the Stale Contractors Law 18.27 RCW and 296100 WAC <br />�. -- .. .. . . _ _ . -- �// ( / u �� <br />� -- <br />OwnorlAuthorizod Agnnt Sfgnatura Dale (Revised 2/2077) <br />��z <br />