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{ �+����� .�8«a� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT : ERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-9857 — www.everettwa.org <br />AppL�CATIONS ARE ACCEPTED fROM 8 AM TO � PM �����`' <br />�� <br />lar new conslruclion: Shoh <br />& I Lic. # <br />(ettech copy of long �egel descriplion) <br />PhonelEmail <br />LDING PERMIT APPLICATION ICONTRACT PRICE OF WORK <br />Existing Use of Building <br />>sed Use oi Building �'� — - " - - <br />ing type: � Single Fami�y _ Duplex _Townhouse _ Multi-Famiiy _ Commercial <br />oi project: � New _Addition _ Remodel _ Repalr_T.I. _ Sign _Sprinkler_Demolition_Change of Use <br />riptionofWork(addifionelspaceprovidedonfhuack�`.'��� 25�,,,�,J �� � <br />���� � �I-� .�.r-.- "�"�"� <br />� you staRed working without a permit7 _YES �NO �� O` ���� <br />MECFIANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />of Projeel: �New _Addn _Alteratlon _Rapair Type of ProJect: New _Addn _Altention _Repdr <br />Show Number (N) 0/ �xtures Show Numbar (M) oI Rxfures <br />air. _ a;r handlina unils Toilet <br />of Heads <br />Medical Gas <br />Other: <br />Other: <br />I hereby certiry Ihat I have read and examined this epplicalion and k�ow the same to be truo and correct. All provisions of laws and ordinances goveming <br />this lype ol work will be complied vnth whether specified herein or not. The gra�ling of e pertnit does nol presume lo give authority lo violele or cancel <br />Ihe provision ol any other stale or local law reguialing construction or the pertormance o1 canslruclion. That I am eulhorized by the owner of Ihis property <br />to peAorm Ihe work for which applicatlon is mada and I compiy with Ihe Stale Conlrectors Law 18.27 RCW and 298.200 WAC � <br />. . - 9//�/a Z <br />.d � <br />O adAuthorized/�eat�nature �---� �� /Revisedl/I011) <br />