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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES �{ ��I� Z <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 —www.everettwa.org <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br />4DDRE5S: � �. PROPERNTAXq PERMIT# <br />7�'/ S //�J,�%�/� G� m' '�-3` <br />L for nev+wnstruclion: Shorl PlaVsubdivision Lol No._ (allach copy ol iong legal desulptlon) <br />PERMIT ANPLICATION <br />Use of Building <br />�6 )3� <br />OF WORK _ <br />.�iafi <br />— S�0/ � <br />HEAT <br />�'��J' <br />osedUseofBuildfng � ��✓�"� ' � "`r" '- -°`' �� --- - - -- <br />ingtype: _SingleFamily _Duplex_ ownhouse _Nfulti-Family ��ommercial . <br />ofproject: _New _Additfon _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change ofUse <br />:ripllon of Work (addifional space provftled on fhe 6ack) : • <br />��,/, �/7�il GL � lG // i/ o�o w�ry TyP� � l-lDV1% <br />� you started wofking without a permit7 �YES / N� . <br />MECHANICAL PERMIT APPLICATION � � <br />ofProJect: _New_Addn _Alteralion_Repalr I I <br />PLUM8ING PERMIT APPLIGATION <br />ofProJecl: _Nnw_Addn _Allerotlon__Rupalr <br />Medtcal Gas <br />Other: <br />Othar: <br />I hereby ceAify lhal I have read ano examined thls applicatlon and know tha same ta bo lNe and correct. All provisions ol laws and urdinances p�veming <br />Ihis rype of vrork will be complied with whether specifizd hereln or not. The grdnl ing of a permit does not prasume lo gfve authonty lo vlolate or w�cel <br />the provlsion ol any olher state ofJocal law �egulaling wnslNClion ot the pe�tormance ol consWction. Thal I am autho�ized by tha owner of Ihls p�o�rty <br />to pertorm the work fo� wNcN application Is made and I compN with Ihe State Conlraclors Lew 18.27 RCW and 298,200 WAC <br />f�� I�-�''�- � i' ' „� �l �za� `v ,RB��S�a �o,,, <br />OwncrlAulhorl ud Agent Signeluro Dale <br />��2 <br />