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\ <br />\� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />320D Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 -www.everet� a.ory s`I a <br />d 2 APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM F� <br />ADDR 5: PROPERiYTAXp M�� �� j`�/_' <br />,a � �/C--i2-C�Rl,=��tJ �,U '(Y vJ <br />,L for new conslruction: Short PIal/subdivlslon _Lot No._ (attach wpy ol iong legal desuipllon) <br />v q�-J,-. <br />ILDING PERMIT APPLICATION <br />��� v�s = � <br />PRICE OF WORK <br />i� <br />�. <br />isting Use of Building ����T � _ HEAT SOURCE: <br />Gas Eleciric_ Olher_ <br />oposed Use of Building Z��� - �1 <br />ilding lype: _ Sfngle Famiiy _, Duplex Townhouse _. Multi•Family rCommercial . <br />peofproject: _.,New _Addilfon _Remodel ,�Repair_T.I._Sign_Sprinkler_DemoliUon_Change ofUse <br />�sc�iplfon of Wo�k (addifionel space provlded on fhe 6ack): <br />UE fl-sC�C �M�C�Gi�-'DA-�1�'b�.9 ST°��'�O^�', <br />rve you started working without a permit7 YES �NO . <br />MECHANICAL PERMIT APPLICATION PLUPIIBING PERM�'�1' APPLICATIO <br />peofProject: _New_Adtln ,_Alteratlon_Repalr Typeo(ProJecl: __New_Addn_ RAlteraUon_Ropair <br />Gas <br />Other: <br />I heteby certiy Ihal I have read and examined this application and know Ihe same l0 6e true and wrrect. All pmvisions ol laws and ordinances goveming <br />this type of vrork will be complied with whelher speci(ed herein or not. The granting of a permit does nol presume lo give authority lo violala or wncel <br />Ihe provision of any olher slale or /Iaca�J v�regulating wnslrucllon or lhe peAortnance of consWctlon. That I am autharized by Ihe owner oi this property <br />lo peKorm the wvrk for which a p�l o � made and I comply wilh the State Conlrectors Law 18.27 RCW and 298.20� WAC <br />/ — z Ci � <br />Ow IAuI orfzedAge Ignatuw le (Revised7J2017) <br />��a <br />