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( <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <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 S` a7'�II <br />lor new ConstruUion: Short <br />�lS <br />D►�ll�E <br />idvo.l� GZvc: <br />PERMIT APPLICATION <br />(attach copy of long legal desuiplion) <br />_s �.�9 S�yl <br />�loRoisi 1Y�� �zA <br />Phone�Ema�l �o� Sa� 9 S �° <br />R PERMIT <br />�OV1�. �� 7 7/ �ol� <br />PRICE OF WORK <br />°xisting Use of Building � � �� <br />�roposed Use of Building <br />f�10 ��0.11Q� Gas Eledric,}� Olher__ <br />3uilding type: � Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />fype ot projecl: _ New _ Addition _ Remodel �Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Destriplion of VJork (additionel spece pfvro,vi�d i oi fhe backJ: �?o ,/�0.;,� 2 �-X� �Q'"� +�Vrs . <br />51r�\\ FIRC. ���a� SmoK�Ixtmarac• �-�- , , <br />��p\a�z Uw(3 4- Zrs�.l�-��o��. Roa�i►�. Zrt'�'ior -�vi�� �pa�u�i-. <br />Have you atarted working w�thout a pertn�t7 _YES �NO <br />ue�usw�caL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />ol ProJoct: _New _Addn <br />Show Number (N) <br />otProJer�: _New_Addn _Akentlon jj,.,R�W�r <br />Medical Gas <br />Other: <br />I hereby certity that 1 have read ard examined Ihis applicatlon and know Ihe same to be true and cortect. All provisions ol laws and ordinances goveming <br />this type of work will be complied wilh whelher specified herein or not. The granling ol a pertnit does not presume to give authority to violale or eancel <br />Ihe provisi n of any other stale or local law regulating constructian or Ihe perlormence ol construction. That I em aulhorized by Ihe ovmer ot this property <br />to erfo e wo r which ap i alion is made and I wmply vrith Ihe Slate ContreUors Law 18.27 RCW and 296.200 WAC <br />� ✓ r ��'� rr�e�rsedvzo,+J <br />Own rl uthorl ed gantSlgnNure Date <br />