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PERMIT APPLICATION <br />F UILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Ced�r St., Everett, WA 98201 - 425•257-8810 - FAX 425-257-8857 - www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM � �G' �� <br />(crnewconsiruclion: Short <br />t �'�a�1Sl�lt� I�'11���C <br />"I`�3i (-:�o-yic�n <br />�T— <br />.ACTOR (� I� S T <br />7 Z G Z �l,�L' _ <br />.S�•:�C �/�G I Z5 <br />�tli•iision <br />�rrnc. ��.11c.` Pha <br />/, S,•�fr X-Iv[ cny <br />n-,r �g <br />7'�.1 /�C�7i��L�'L �V n <br />e�5� <br />ILDING PERMIT APPLiC/';?'70N <br />UseofBuilding t:i•'+�•�<_���='� ��fiPc <br />,�n�o..ra�ai.��,,,, �4Mc= — <br />u <br />a �( <br />n (n -(7 �'f' � <br />No._ (atiach copy of long legal descrip�ion) <br />a� 4zs - v�y- lc s z <br />EV�l� H� �✓�l �I s��' y <br />13s'yS1 � � �S�3S <br />� <br />onelEmaiIL�ZS - �I.�c' -G'-�" y <br />PERMIT yZ; � <ISZ -GS <br />���„ k„�665 <br />�_ _ _.�.-_ w.,��• ��..,�, <br />PRICE OF <br />3 <br />ng type: Single Family _ Duplex _Townhouse _ Multi-Family � Commercial <br />of projecl _ New _ Addi�ion _ Remodel _ Repair � T.I. _ Sign _Sprinkler _Demolilion_Change of Use <br />fip�ion o( Wofk (addilional space pmvitled on Ihe 6ack): <br />you started working wilhout a permit? _YES �NO <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />of ProJecC _New _Addn _Alteration _Repalr <br />Show Number (#) ol lixtures <br />. A/C-airhandlinqunits <br />heater <br />: <br />Number of <br />ofProjecl: _New_Addn _P.Iteration_Repair <br />Shaw Number !p) o/ /ixfures <br />Medical Gas <br />Other: <br />Olher: <br />I herehy ceAily lhat I have read and examined Ihis appiica�ion and know ihe same to be Irue and wrrect. All provisions of laws and ordinances govemin9 <br />this type ol vrork will be complied vnlh whelher specified herein or noL The granting ol a permil daes nol presume to grve authori!y lo violale or cancel <br />Ihe provision of any olher slale or locat law regulating conslmclion or Ihe pedormance ol tonslmciion. Tiia� I am authonzetl Uy lhu o�,vner ol Ihis proPen>' <br />to p� / he work lor �v � pplicalion is made and I comply wilh ihe State Contractors Law 18.27 RCW and 296.200 WAC <br />i�� f -7_ % -��- <br />' ��` GNe t� <br />ymer Wl � rizedl� mt� Si< �k re Dale (HeviseA 22017) <br />_� � ` �( z <br />