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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />St Everett WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org r <br />3200 Cedar ., <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM —C <br />in <br />TAX PER IT# <br />)DRESS:11 <br />ZC l�1.� i Ivll� �l4 <br />Lot No._ (attach copy of long legal description) <br />for new construction: Short PlaLlsubdivision <br />JW JCity/StatelZiP �OiLz f l, jlt b Ur q�L-TOR Clif�l2Tr_� Co s�'2��ricc7&ILic.# L I ( If VVI <br />tJc,S _Scl <br />TENANT BUSINESS NAME/ f?)T 7 flf21 L� <br />Ly 1�1'�1 LS1 I�4i L I , IV Lill b5 JJneEmet�l20G) t-124��1 <br />BUILDING PERMIT APPLICATION CONTRACT PR E OF WORK d <br />HEAT <br />Existing Use of But <br />�c Ti^ L <br />Ga,_—V El <br />d U of Building Vt* 119 i t <br />Propose se <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family �C Commercial <br />Type of project: ,_New _Addition ,_ Remodel �„ Repait�"T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Description of Work (additional space provided on the back): <br />you started working without a permit? _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New_-Addn _Alteration <br />J <br />PLUMBING PERMIT APPLICATION <br />of Project: _,Now_Addn _Alteration <br />Medical Gas <br />Other: <br />Other: <br />Number of Heads <br />I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and irdinances governing <br />this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel <br />the provision or any other stale or <br />9de regulating construction or the <br />I comply with the State Contrmance actors Lew 16 27 RC W aof construction. That lnd 296 00 WACam authorized y the owner of This property <br />to perform the work for which application Is m <br />?13/ i � <br />(Revised 211011) <br />Date <br />Owner/Authorized Agent Signature e- <br />