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PERMIT APPLICATION <br />BUfLDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everelt, WA 98201 - 425-257-8810 — FAX 4?5-257-8857 — www.everett�Na.org <br />�/.77 i\nt'r: <br />fornewconstmction: ShoA <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7r�C� <br />BUILDING PERMIT APPLICATION <br />Use o( Building <br />tt <br />�� � <br />No. (allach copy ol long legal descriplion) <br />!/E-mail `.� �. � � �=k� " <br />Iale2iP (� I��vC.t.(i � � <br />��io-.n Sl•c.� � )� <br />/��-Phone/Email � <br />TACT FOR PERMIT <br />�� <br />��t_,�c.,�� ��' <br />:/E-mail �.�5' '- 3d� <br />TRACT PRICE OF WORK _ <br />�� <br />�735�/ <br />RCE: <br />Proposed Use of uilding -"-- — <br />Building lype: �Single Family _ Duplex _Townhouse _ Mulli-Family _ Commercial <br />Type of projec�: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />DesCfiplion of Wofk (addilional space pmvidedon fhe back): <br />�`�(rL�ti �ja7��l.'L4t-C�L <br />�� J <br />Have you started working without a permit7 _YFS �'NO <br />MECHANICA:. PERiNIT APPLICATION PLUMBING PERMIT APPLICATION <br />of ProJecl: _Now_Addn �Alteratlon _Repair <br />ShowNumber(NIo/lixtures _. <br />� Other_ <br />SPRINKLER / SUPP <br />oF Heads <br />otFroJect: _Naw_Addn _Alteratlon_Ropair <br />showNumberlN) o/Iixwres <br />Medical Gas <br />Other: <br />Olher: <br />I herchy certify Ihat I have read and examined this application ond kno�v Ihe same to be Irue and correcl. All provisions of laws and ordinances qoveming <br />this type of work will be complied with whelher specifed herein or noL The grantinp ot a pemiil does not presume lo give aulhority to violale or cancel <br />the pmvision of any othur slale or local law regulating conslructiai or lhe pedormance of consimdion. Thal I am authonzed 6y ihe owner of ihis preperly <br />lo pedorm Ite work lor which hlication is mada and 1 comply wilh the State Conlraclors Lac+ 1827 RCW and 29620D \NAC <br />.�C�' l Sia �l,��ti{�;114� ��." �j'- // <br />Owner/Autharie �d A9ent Sl9natum <br />�ale (Revised 7/2071) <br />