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! <br />i <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES a_ aQ �-I� <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />fornewwnstruction: Shod <br />&ILic.# <br />APPLICATION <br />No._ (attach copy of long legal descriplion) <br />PRICE OF WORK <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Buildinq %�c �Iv � Gas_ Eleclric_ Other = <br />Building type: _ Single �amily _ Duplex _Townhouse _ Mulli•Family _ ommercial <br />Type of project: _ New _ Addition _ Reniodel _ Repair_ T.I. _ Sign�Sprinkler _Demolition_Changz o( Use <br />Descri tio F Wo�/k /(e�dditional space p�ovided on fhe 6ack : /� <br />�fC�.C.� L(r' liCLC' =J/�!//��L�'s N� i(�'G✓ GL�I�� �G�//1C'S , <br />�1 <br />you started working without a permil7 _YES �NO <br />MiECHANICAL PERMIT APPLICA' 10N <br />'typo o( ProJoct: _Naw_Addn _Aitorallon _Ropa(r <br />air <br />NKLER / SUPFRESSION SYSTEM <br />PLUMBING PERMI'i APPLICATION <br />o1ProJect: _Now_Addn _Alteratlon_Repair <br />Show Numbe�lHl o/flxtures <br />Medical Gas <br />Olher: <br />Other. <br />I here6y cettily ttiat I have read and examined Ihis applicalion and hnow Ihe same to be Irue and correct. All provisions of laws and ordinances gove�ning <br />this lype of v rk will be complied wilh whe�her specified herein or nol. The granling ol a permit does not presume �o give aulhorily lo violate or cancel <br />Ihe provisi � of any ot r a. or local law regulating conslmction or the pertormancQ ol consimctian. Thal I am authorized 6y the owner of this property <br />lo pedo he wor �or application is mado and I comply vrilh the State CoNraclors Law 1827 RCW and'e9"u.200 WAC <br />� �d�'S^�� <br />Own IAi horizedAgentSi�nature Da�e (4evised22077) <br />!D-y <br />