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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-&810 — FAX 425-257-8857 — www•everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />vS EAST O�¢/vE � �'�'s' <br />lor new cons�ruc�ion: Short PlnUsu6division ��� <br />�'ti�.r•e <br />EAS'T O.eivE <br />� <br />BUILDING PERMIT APPLICATION <br />(altach copy of long �egal <br />y�s ,�sbss� <br />E'aE�'ETT <br />�w��-�-- <br />PRICE OF WORK <br />" �/ R� -Oa <br />Existing Use o( Building v HEAT SOURCE: <br />Proposed Use of Buildina SI —�- — f�� �� T��y��lG, •,., .� Gas ElecUic_ Other_ <br />Building type: �, Single Family _ Duplex _Townhouse _ Mulli-Family _ Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change oi Use <br />Descrip�ion o( Wo�k (addrtional space provid�d on fhe bnck): <br />C,il,�AGE fl0�9�TiOH F� G'v�iv� A�.''E/� <br />you started working without a permit7 �YES _NO <br />MECHANICAL PERMIT APPLICATION <br />otProJoct: _Now_Addn �Altorallon_Ropalr <br />Show NumberfMl ollixturcs <br />Gas <br />SPRIN <br />air <br />PLUMBING PERMIT APPLICATION <br />ofProJect: _New_Addn�Alteratlon_Rapair <br />o/ <br />Medical Gas <br />Other: <br />I hereby cerlify ihat I have read and examined Ihis application and kno�v lhe same to bo Irue and correcl. All provisions ol �aws and ordinances governing <br />this lype of woik will be complied wilh whether specifed herein or not. Tha granting of a permil does nol presume lo give authority to violale or cancel <br />the provision ol any olher slate or local taw re�ulating conslruction or lhe pedormanca of consWclion. Thal I am aulhorized 6y Ihe owner of Ihis property � <br />to perlorm Ihe work for which applicalion is made and I comply wilh tho Slate Coniractors Law 18.27 RCW and 296200 WAC `� <br />Q � � -� � � - (Revised?/2011) <br />OwnerlAuthotiznd Agont gnaturu uO1� <br />