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( <br />PERMIT APPLICATION <br />BUILDINGIIIi�ECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — vwuw.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PAA '� a-a `� � <br />ADDRESS: PROPERTY TNf N P�n MIT t � <br />. l,.. ,— -^--�.. 1� i�_ C Y 11n —�lc <br />for new canslruction: Shart <br />BUILDING PERMIT APPLICATION <br />Exisling Use of Building <br />Lot No._ (atlach copy of long legal descriplion) <br />Phone/Email 'zt4 %30 - � " <br />Cllyl$18te21p ��PNTU.I� i �A/ , <br />L&ILic.# N};%i�MN\'�q\96� <br />IPhone/Email 14j,� ZZf,-�X}7 <br />JR PERMIT <br />�ncoi�3o-�I-la �e� <br />PRICE OF WORK,�7 fJ� <br />HEAT SOURCE: <br />Proposed Use of Building ( �� M L — — <br />Building type: _ Single Family _ Duplex _Townhouse Multi-Family ,�, Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repalr �„ T.I. _ Sign _Sprinkler _Demolition_/IChange of Use <br />Description ot Work (atldifional space provided on the back): /I I U�� �� ,�� �J��„� �.¢lTA � `,� �� L <br />� <br />Have you sWrted working without a pertnit? _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />of ProJect: _New_Addn _Alteralion_Repalr <br />ShuwNum6er(N)o(Ilxtures _ <br />SYSTEM <br />Heads <br />PLUMBING PERMIT APPLICATION <br />of ProJect: _New <br />Show Ni <br />� <br />Drinkin Fou <br />Floor drain <br />Grease tra <br />Root drains <br />� 3 Medical Gas <br />Other: <br />Other: <br />I here6y ceAlry Ihat I have read and examined this applicatlon and know lhe same to be iruo and corzect. All provisions of laxs and ordinances gaveming <br />this lype of work will be complied with whelhe� specified herein o; not. llie granling of a pertnit does not presume lo glve aulhority to violale or cancel <br />Ihe provision of any other slate or local law regulaling co structlon or Ihe peAormance of conslruclion. That I am aulhorized by the ovmer ol ihis property <br />lo peAorm Ihe ork lo hic allorf is made� comply with ihe State Conlrectors Law 78.27 RC`N and 298.200 WAC <br />' �/Ll� ZOi� <br />O ner/ t o zed Agant SI nature Dale (RevisedYlOf 1J <br />{ � <br />1. Ca,t.. <br />