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PERMIT APPLICATION <br />BUILDING/MECHANICAL/RLUMBINGISIGNI�PRINKLER/UEMOLI710N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Gedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADORESS: � PROPERNTAXp PERMIT# <br />�/'%//�C �%t�ir�/c'�ti'� %/%/Ji�� '��ovi�-�o�-oi� n� � 2a3-x <br />newconS�Nclion: ShoAPlat/subdivision <br />C' <br />� ,�7/� <'r:' <br />�C� ,'__ c.. C."/� c �'Ev(L:r <br />�� � ,; i ,.�� <br />BUILDING PERMIT APPLICATION <br />Lot No._ (atlach copy ol lung le9al descnpdon) <br />ionME-mail �!%-S �3� %,G � ������ ����5 <br />�C�G��(�=�t�t�,,/ p'?o// <br />IylSto�e/Zip �r / ,3 i <br />&ILic.# <br />PhonelEmaA <br />DNTACT FOR PERMIT r/�� L����� <br />� / <br />ionelE�mall }�.�5�;�3/- j=;�/ �n��r=ilL�(S�/<il,G <br />ONTRACT PRICE OF WORK <br />ng Use of Building n r`� �lf'— hit�i suun�e: <br />isedUseofBuilding C=/J���« Gas_, Eiectnc__ Other_ <br />ng type: _ Single Family _ Duplex _Townhouse _ Multi-Family � Commercial <br />of project: _ New _Addition _ Remodel _ Repair_T.I. _ Sign _Sprinkler _Demolilion_Change of Use , <br />riplionofWork(addition3lcpacepmvldetl nfh back):,„ a I/ ��� �� !`�;-`�rV���?.J� � /?l'�� <br />� � c��, c� C���;,'" Pk�` - ,q,�� - <br />t_s_-�s � n; /T <br />T / ' �i� ����i� C^�'�'LL(if;�l� - <br />L j��-/-%� j�C�i%� <br />vou started wo m� withovt a permit YES �NO <br />MECHANIGAL PERMIT APPLI�CATION <br />ofProJecL• _New_Addn _Allerallon_Repair <br />ShowNumber(N)olfixtures _ <br />— av nanauna u s <br />I <br />SYSTEM <br />PLUMBING PERMIT APPLICATIOiJ <br />ofProjecl: _Now_Adtln ,�Alteralion_Repalr <br />Show Num6er (N) of /iz(ures <br />Medical Gas <br />Other' <br />L� Number of Heads I I � v"'r'. <br />I hereby cerlity �ha� I ha�e read and examined lhis aFPlicaiion and knov� �he same to be imz and coned. All pmvisions of laws an0 ordinances 3oveming <br />Ihls rype ol work will be complied with whether specified herein or not. The granting ol a permil tloes noi presume �o give anlhonry to violate or cancel <br />�he provision ofAny olhef�state or local law regulaiing consirutlion or the pertormance of consWc�ion. Thdt I am aulhonzed 6y ihe owner ol this pmperty <br />to peAo m�e�Hcrk for ich aqplication is made and I comply with Ihe State Coniractors Law 70.T RCW an0 296200 WAC <br />, ��_�2 <br />� t�c� /�r;n; �:` <br />Ow dA�lhorized,AgentS/fgnaWre Date (Revisetl7/?011) <br />� <br />