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� 4^ <br />PERMIT APPLICATION <br />��Ji�.Ui?,I��1��::N,ANICAUPLUMBiNG/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVEI2ETT PERMIT SERVICES <br />3� C�u :;•: +::� •:;t., FvErett, WA 98205 - 425-257-8810 - FAX 425-257-8857 - www.evere�.org / <br />APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM `�Z"'�� 1 <br />nnnaFcc� � i1 ROPERNTA7(p . PERMITY , <br />(or new construclion: Short <br />i <br />LDING PERMIT <br />Existin3 Use of <br />T <br />i <br />Lot No._ (altach copy of long legal doscriptfon) <br />PhonelE-mail <br />CitylSla�elZiP �VerC� � �/Gt. 9�/ZG <br />L&ILic.# ��' / L <br />? PhonelEmall p �✓/ p0 � � <br />CONTAC7 FOR PERMIT <br />Phone/E-mail � <br />CONTRACT PRICE OF WORK <br />HEAT SOURCE: <br />Proposed Use of Building I vas _ tiecmc_ �mer_ <br />8uilding lype: _ Sing�e Family _ Duplex_Townhouse _ Mulli-Family _ Commerciai <br />Type of project: _ New _Addition _ Remodel _ Repair_T.I. _ Sign _Sprinkler_Demolition,_Change of Use <br />DescriFtion of Work (addifional space proviaed on fhe back): <br />you sWrted working without a permitT _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />of ProJect: _New _Addn _Alteration _Rapair <br />ON SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />of ProJect: _New_Addn _Alleration_Repalr <br />Show Number (M) of flzfures <br />M :dicsl Gas <br />Olher: <br />Other: <br />I hereby certify Ihat I have read and examined lhis applicalion and know Ihe same lo be Irue and cortect. All provisions of iaws and ordinances goveming <br />ihis type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel <br />the provision of any olher stale or locai law regulating consiruclion ar Ihe per(ortnance of construction. That I am authorized by the ovmer of Ihis property <br />to perform ^Ihe work for which application made and I comply N•ilh Ihe State Contractors Law 18.27 RCW and 296.200 WAC <br />� �j ��. � <br />OwnedAuthorized Agent Signatur Dale (Revised 7/Z011) <br />