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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGNlSPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Sl., Everett, WA 98201 - 425-257•8810 — FAX 425-257-8F.'S7 — www.everethva.org <br />APPULATIONS ARE ACCEPTED FROM 8 AM TO 0 P�I / Z.-3O "'�, <br />larnewwnstmcliort Shotl <br />si���.a <br />fl, <br />UILDING PERMIT APPLICATION <br />Usc ol Bmlding <br />d Usc oi B�ildir <br />No._ (allach copy ol long Icgal dnsrliplion) <br />PRICE OF <br />` jj <br />G(J�9 <br />Ol�r.r <br />ngtype: _SingleFamily _Dvplea_iownhousc _Multi-Family kCommercial <br />of projecl: _ New _ Addilion _ Remodel _ Repair �T.L _ Sign _Sprinkler _�emolition_Change of Use <br />�ip�i0n 01 Wo�k (addrtional spacc pmvided on Iho bacF) : <br />you started working wilhout a permit� _YES � NO <br />MECHANtCAI PERMIT APPLICATION <br />Profect: _New_ACdn _Allcratlon_Repalr <br />Show Numberlql o/ �if�res <br />healer <br />Gas <br />ON SYSTE <br />Number of <br />PLUMBING PERMIT APPLICATION <br />a1Pro!ect: _New_Addn _Alteiatlon_Repalr <br />Shaw Numberlkl o/ fiaYume <br />washCr <br />6ackflow <br />Medi�il Gas <br />Other: <br />I herc�y cenify Ihat I.wrc iear ,ind c.amincU Ihis aOPllwlion and knvw Ihc ,amc lo bc Wc and eorrect. NI p�avi5�ons al lows and orUinances qovcming <br />thi, type ol xe:` w.:i be com �� :d vnV� wtmlher r.peclfed �erein o� nnt. The graNing ol n prtrtnil does �ot presume In gNe aut�onry In violate ar aincel <br />Iha provision ol any alher s_le ar Io4�i law repulaling wnslruclion ar Ihe Oerlormanco al wnslmUion. Tha� I am aWhonzed by Ihe o•sner ol Nis propeny <br />lo peAoim lAe wo�k lor xfiich a plie�tion �i mad �nd I comply wilh Ihe SIa1e CoNraclors Law 18.27 RCW antl 296200 WAC <br />�i,��i1.� � i� %s fi3 <br />OwnetlAul�orlxotlllge SI aturo Dale /Revised1R017) <br />