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� <br />PERMIl' APe�LICATION <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAY; 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FRQM 8 AM TO 4 PM —I ` S`"' � I <br />annoccc• 9r/.L �PROPERNTAXp PERMIT# _ � <br />for new conslruclion: Short <br />LDING PERMIT APPLICATION <br />Existing Use of Building <br />Lot No._ (allach copy af long legal description) <br />PhonelE•mail <br />CitylSle�e2ip <br />L & I Lic. # . /l� �i�,S D "�✓ <br />L Phone/Email �i'15'g���p <br />CONTACT ORPERMIT ,�E K <br />Phone/E•mail ? p�i' �3 <br />CONTRACT PRICE OF WORK �,�.� <br />Proposed Use of Building l�� Y'!7►V P ��—i �l= I "°'�-- � — <br />Buildingt;pe: _SingleFamily _Duplex_Townhouse _Multi-Family �Comm=rcial <br />Type oi project: _ New _ Addilion _�,,,/ Remodel _ Repair�, T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Description of Work (erldilional space prvvided on the back): <br />SN'3� $ fLI L� OGG� <br />you ataRed working wllhout a pertnit7 _YES �NO <br />MECHANICAL PERMIT APPLICATION <br />ofProJect: _New_Addn _Alteratlon_Repalr <br />�� <br />of <br />PLUMBING PERMIT APPLICATION <br />ofProJect: _New_Addn _Alteratlon_Repalr <br />Show Num6erlM) oI �xtures <br />Medical Gas <br />Other: <br />Other: <br />I hereby ceAify Ihat 1 have read and examined Ihls eppllcatlon and know Ihe same lo be Irue and cortect. All provislons ol laws and ordinances goveming <br />this type of work will be complled with whether specified herein or not. lhe granting of a pertnit does not presume to give authority lo violate or cancel <br />lhe provislon of any other slale or Iocal law regulating conslrucllon or the peAormance of constn�ctlon. Thal I am aulhorized by Ihe owner of Ihls property <br />�n nedorm �he work for whlch applicatlon (s made anC I comply with Ihe State Contractors lew 18.27 RCW and 296.200 WAC <br />�� <br />(Revised 22011) <br />