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� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERE7T PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.or _'a`I / <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />)DRESS: PROPERNTAXN P IT# <br />30 - en 0�7 ,oz D o_ oo D" b <br />lor new consiruclion: Short PlaVsuodivision Lot No._ (atlach copy o11onB legal description) <br />rir <br />—� / Gf O <br />- ��i'Z�7 <br />�G)�s5-�o8� <br />KiM , . . � ., � <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK GC� /T� <br />ExistingUseofBuilding�_'r/�I� . i AG-.i SUpPL� Nop) HEATSOURCE: <br />Proposed Use of Buiiding,�jii Si nl GS S � S Pf� � Gas_ Electnc� other_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family � Commercial <br />Type of project: _ New _ Addition � Remodel _ Repair ✓ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />of Work (addifional space pmvided � n(ha back): <br />you started work(ng without a permit7 _YES V NO <br />MECHANICAL PERMIT APPLICATION <br />of ProJecl: _New_Addn _Alteration_Repalr <br />Y <br />Number of Heads <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />ofProJect: _Naw_Addn _Alteration_Repalr <br />Mediral Gas <br />Other: <br />I herehy certify that I have read and examined lhis application and know tha same to be true and cortect. All provisions of laws and ord!nances goveming <br />ihis type of work will be complied wilh whelher specified herein or not. The granting of a permit does not presume lo give authority lo violate or cancel <br />the provision oF any olher slate or local law regulaling conslruction or Ihe pertormance of consiruction. That I am authorized by lhe owner of Ihis property �I <br />lo perform tlie work for which application is made and I comply wilh the S�ale Conlrac�ors Law 1827 RCW and 296.200 WAC � <br />�� OGI� / i L'_' % ' � ' �/ ` <br />Owner/Au) orized gnnfSl ature Da�e (Revised22011) <br />� <br />