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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/51GNISNK�n�c�truucmv�� i ivry <br />CITY OF EVERtTT PERMIT SERVICES � IS t Z <br />3200 Cedar 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 />9�AR�g'- _ . e._ C�a-L�A27n PRMflll��iMAni'7l� P"I��T�S—O�� <br />wnslruclion: Short <br />t <br />BUILDING PERMIT APPLICATION <br />(ettaGi copy of <br />PRICE OF WORK <br />� <br />ixlsting Use of Building ��• "—" """-' <br />'roposed Use of Bulld(nq Rn +� S► ne Q NA1 V Gas� EledAc_ Otner <br />4uilding type: � Sln9te Femily _ Duplex _Townhouse _ Mult Family _ Commercial <br />ype ot projact _ New _Addition �Remadal Rapefr_ T.I. _ Sign _Sprinkler_Demolklon�Change of Usa <br />�sufptlon of Work (adtlitMnal space provided on fhe bacl�: � <br />�Bi►t0�1 � �J� ej�5?n)� /�� X O` W+n.iow A n o� <br />NLN7 '�, �� �( `�" �,,)��OW � �i �r � .• � y � .� <br />'� `� `J <�rtis hr)�e � yw� 11 o x4 o x�}o <br />l`N¢.++� (c"x ;c►1o' Cu�nt�¢re, w \\5. �,Q, c1Cjj'p��Aq,y�g <br />_ .._.. _ _�_$...���.._...�.�,... � �,...,�,�_ .°� vFs r�lNo <br />MECFIANICAL PERMIT APPucwT <br />of ProJed: _New _Addn _Alteratlon _Repalr <br />ShowNmnber(N)o/flaTures _.. <br />PERMIT <br />of Project: _New_Atldn _AlNratlon_RepNr <br />Shew NumEe/ M7 0/ flaYUAd <br />Medical Gas <br />Other: <br />I hereby certiy th�t I have reatl and examine�l this appllcatlon and knav the aame to Ce l�ue a� correct. All proviabna of laws and ordinancea qoveming <br />this type of xrork will be complied with whether specified herein or not. The p2ntinp ol a permit does rot presume to 9We authority la vblate w cancel <br />the provision ol any other stele or local law regulaling constNMlon or the pertormanca of eons Wdlon. That I em authorized try the owner ol Nia property <br />to pertorm ihe work (o Ich application ia made and 1 compty with t�e Slate Conlradon Law 18,27 RCW end 2BB.200 WAC <br />Ow� g t Ignalura � at �� lRevised 7/'201f) <br />/ <br />n� <br />��z <br />