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� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM 2—I (j �— �� <br />ADDRESS: � PROPERTYTAXH P MIT# <br />:•;�rJ 4ir !,✓�iii'�"�' /��r��� Wc^"1 �1102--GC� <br />for new construction: Shorl PlaVsubdivision Lol No._ (attach copy of long legal descriplion) <br />�_) \�.,.. <br />BUILDING P <br />Use of Building <br />Z�j6 <br />��� v� J <br />pPPLICATION <br />L 8 I Lic. # i. � �.i�� �i � <br />c.� WIy�� vhone�email.'.� �i7•�JH� MiLC-I <br />CONTACT FOR PERMIT <br />PhonelE•mall �7i C��—1 � <br />CONTRACT PRICE OF WORK %�i�, dv <br />Proposed Use of Building � Gas_ Eieciric_ Other_ <br />Building type: _ Sinnle Family _ Duplex _Townhouse _ Mulli-Family _ Commercial <br />Type of project: _ New _ Addilion _ Remodei _ Repair _ T.I. _ Sign __Sprinkler _Demolition_Change of Use <br />Description of Work (atlditional space provided on fhe back): <br />Have you started working without a permit7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />ofProJoct: _Now_Addn _Altaratlon_Rapalr <br />Show Num6er (#) o/ /ixtures <br />A/(: — air handlina uni�s <br />SPRINKLER/SU <br />Number of <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />olProJoct: _New_Addn _Alterallon_Repair <br />ShowNumberlNl o/flxtures <br />Medical Gas <br />Other: <br />Olher. <br />1 hereby certify Ihal have read and examined Ihis applicalion and know Ihu same lo be true and correct. All provisions of laws and ordinances goveminp <br />this type ol w rk wil e complied wilh whelher specified herein or nol. The grantin9 0l a permit does no� presume lo give authority lo violale or wncel <br />the pravisio�o( aq other sla�e or local law regulating consiruclion or Ihe pedormance al conslmcllon. That I am authorized by Ihe owner ollhis propeAy <br />to pedorm J�ie woFk fm� which application is made and I comply with Ihe Sla�e Coniractors Law iB27 RCW and 296200 N'F.0 <br />(Revised7l1071) <br />