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BU <br />( <br />PERMIT APPLICATION <br />BU{LD�lVG/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOL.ITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.evere�ttw iorg / <br />APPLICATIONS ARE ACCEPTFD FROM B AM TO 4 PM � <br />ADDRESS: _ PROPERNTAXN RMIT# <br />%P/S' ct��„Eeiz di%uy� . �� o a r�o o/v�a �`` <br />for new consiructian: ShoA <br />i <br />/�`t�XP�rt ^ �� <br />NG PERMIT AAPLICATION <br />Use of Building <br />IJ <br />L&I <br />No._ (allach copy of long legal descriplion) <br />� — <br />PRICE OF WORK <br />HEAT <br />�l' . �rN � <br />m�. — <br />Proposed Use of Building ��F�a-��� � Gas Electnc__ Olher_ <br />8uilding lype: _ Single Family _ Duplex _Townhouse _ Mulli-Family �Commercial <br />Type of project: _ New _Addition _ Remodel _ Repair T.I. Sign _Sprinkler_Demolilion_Change of Use <br />Descriplion of Wo�k (addifional space provided on fhe backl � � <br />yecJ GJcLIC .�L 'F'lcw`'� �`�- S�T' t�-b a. �rZ�vr/Ce�`- �n Trxi rJ ;;� ,�p�,' tGca <br />�o c/ e DiL �1`""�rl ar . / <br />Have you start�working without a permit7 _YES ,�NO <br />MECHANICAL PERMIT APP <br />ofProJecl: _Now_Addn _AltoraUon_Rnpalr <br />Show Number (#) o/ /ixtures <br />I A/f' — air han�ilina uni�5 <br />Gas <br />/SU <br />SYSTEM <br />PLUMB�NG PERMIT APPLICATION <br />of ProJoct: _Now _Addn _Alleratlon _Rnpalr <br />ShowNumber(NI ofRxtures . <br />Medical Gas <br />Other: <br />Other. <br />��� <br />I hereby cenify thal I havo read and examined Ihis applicatlon and know the same to 6e Irue and correct. All provisions of laws antl ordinances goveming <br />this type of work will be complied with whelher speci(ed herein or not. The granting of a pennit does nM presume lo give authonly lo violate or cancel <br />Ihe provision ol any other slale or local law regulating construction or Ihe perfurmanca of con;lruction. Thal I am authorized 6y the owner of Ihis property <br />to perform Ihe work for which applicallon is made and t comply with the State Contractors Lew 78.27 RCW ond 296.2�0 WAC <br />,��� �— p //�� <br />�e_ J / i�/7.V �r <br />/ <br />_ .. .. .--"---.��---...._ n,�n (Revised7/2011) <br />II� <br />