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( � <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DE�VIOLITION <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 FROM 8 AM TO 4 PM �`� b�� / <br />LfornewconsWclion: ShodPlaVsubdivfsion_ <br />=R /,�j��l�,�. S�Ar� <br />�5 <br />'RACTOR �J�(Ii.}l�i -/h�CL✓JS71?�c 'L <br />c5 'L7y 5 �' f�`Kr � , t <br />,NT BUSINESS NAME <br />LDING PE MIT APPLICATION <br />�g Use of Building <br />No._ (attach copy ol long Iegai descriplion) <br />hIIL� �G � l94 d G% <br />PhonelEmaii �%�-��y'y�� <br />PRICE OF WORK <br />HEAT SOURCE: <br />- �//L2 C" <br />I � �1 <br />sed Use ot Building %�es Tnc.Y�� n, 7 � Gas Eleclric Olher,_ <br />ng lype: _ Single Family _ Duplex _Townhouse _ Multi-Family �mmercial <br />of proJect: _ New _ Additfon _ Romodel _ Repair ✓.I. _ Sfgn _Sprfnkler _Demolltion_Change of Use <br />'ip�ion of Work (additional spaca provided on Iho back): ���, �, o, T y <br />Have you started working without a permit7 _YES �IQO <br />MECHANICAL PERMIT APPLICATION <br />Typo of Projoct: _Now_Addn _Alloratlon _Ropalr <br />ShowNumber!#lo/fixtures __ <br />Number of <br />PLUMBING PIFRMIY I'�PPLICATI�UM <br />of ProJuct: _Now_Addn _Alti3ratian _Repair <br />ShowNum6erlN)o/flxtures _ <br />Other <br />I hore6y certify thal I have read and ezamined this applicatlon and know Ihe same to be Irue and correct. All pwvisions ot laws antl ordinances goveming <br />lhis type of work will bo complied wilh whelher specilled herein or nol. Tho granting of a permil does nol presume to give aulhorily lo violale ar tancel <br />the provisif ol any olher slate or local law regulating consWclion or the pedormance ol consWc�ion. Thal I am aulhorized by lhe owner o1 this propeAy <br />�Q oedp��wo N lor Ri �ap !�atiun is made and I comply wilh lhe Stata Con�raclors Law 18.27 RCW and 296.200 WAC <br />� � / % .s <br />OwnerAuthodzedA entSignaWro � Da�o (Revised12Q0f0) <br />/� <br />