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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGlSIGN/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 FROM 6 AM TO 4 PM /d ` � u`< < <br />for new cons�ruclion: ShoA <br />BUILDING PERMIT APPLICATION <br />No._ (atlach copy o( long legal descrlption) <br />PhonelE-mail <br />Ij <br />PRICE OF WORK <br />Existing Use o( Building �,p ,�f " ��-' � <br />Proposed Use of Buildina �/ �� ZU�' 1 �n'e- C,G+ � Gas Elecfdc_ other_ <br />Buiidingtype: _, ingleFamily _Duplex_Townhouse _Multi-Family y,Commercial <br />Type of project: � New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Descfiption of Work (addifional space provided on tho 6ack): <br />Have you staRed working without a permit7 _YES _NO <br />of ProJect: <br />PERMIT APPLICATION <br />_Alteration _Repalr <br />o/ /lxtures <br />PLUMBING PERMIT APPLICATION <br />ofProJeck �,New_Addn _Alteralion_Repair <br />Medical Gas <br />Other: <br />I hereby certify thal I have read and examined Ihis applicalion and know lhe same lo be true and correct. All provisions of laws and ordinances goveming <br />this type of work will be complied with whelher specified herein ar not. The granling of a permit does nol presume to give authority to violale or cancel <br />the provislon of any olher stale or local law regulating construclion or Ihe performance of conslrucllon. That I am aulhorized by the owner ol this properly <br />lo p or lhe worl jur� ' h applicalion is mado and I comply wilh Ihe Slale Conlractors Law 18.27 RCW and 296.200 WAC <br />� `� ►l <br />Owner/AuthorzedA entSign�1iro `Dale (Revised?r2077) <br />`/ <br />