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PERi�111T APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <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 B AM TO 4 PM ��� <br />new constructlon: Short <br />�r <br />,�- �,� �-� L <br />BUILDING NERMIT APPLICATION <br />Use of Building <br />q <br />�� <br />Lot No._ (atlach copy of long Iegai description) <br />ionelE-mail <br />tylStale2ip <br />aiuc.# /ZUDir�/� c iLCZ <br />Phone/Email `T z S' 7.��—�7 �/ <br />ONTACT F9R PF�RMI 7 ��� (� �(� � <br />�`�(Ir,e Ge� �ZS-, <br />honelE-mail <br />ONTRACT PRICE OF WORK �d- �t — <br />Propased Use of Building � — <br />Buildingtype: _SingleFamily _Duplex_Townhouse _Multi-Family � Commercial . <br />Typo of projecl: _ New _Addilion _ Remodel _ Repair_ T.I. _ Sign _Sprinkler_Demolilion_Change of Use <br />Descriptlon of Work (addifional space provided on fho 6ack) : <br />you started working without a permit? _YES � NO <br />MECHANICAL PERMIT APPLICATION <br />otProJech _New_Addn _AlhreUon_Repair <br />I SUPPRESSIO <br />PLUMBING PERMIT APPLICATION <br />ofProJeet: _NowyAtldn _Alteretlon_Repair <br />Medicai Gas <br />Other. <br />Other. <br />I hereby cerliry that I haw reatl and examined this applicaUon and know Iho same to be true anU wrrect. All provislons ot laws and oNinances goveming <br />thi; type ol work will be complied vnlh whether specifetl hemin or not Tho g2ntlng ol a permil does nol presume to give aulhonty lo violate or wncel <br />Ihe pmvision ol any other slatz or local law regulating construction or lhe peAormance ol consWcllon. Thal I am authonzed by tha owner of this properry <br />to pertor he wor for w ich appl' diion Is made and I wmply with the 5tale Contractors Law 1827 RCW and 298.200 WAC <br />'���. ��� �-13 -,��/L <br />OwnedAuthorized A9ent SlgnaWre <br />�ate (Revised 7J20f i) <br />