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PERMIT APPLIGATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLIiION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 -www.evereKwa.org <br />ApPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROPERiY TA% p ERMIT # <br />ADDRESS: � Z(�'U <br />�rj '? Sr E�/L�'< l'TMAt �[+�Y J <br />.i r�r new rnnstruction: Short Plal/su6division Lol No._ (altach copy ol long legal desuipLon) <br />LDING PERMIT APPLICATION <br />y <br />I Lic. # <br />r.a.l�v 1uaPaa,�• <br />PRICEOFWORK,� '�co-u��� <br />ng Use of Building _� ."' IM � u- U,v ccz ✓!'r5! <br />n�ni av..�...�. <br />�sed Use of Building 6"'�'—" �"'�'� ���^�� � Gas Elecidc_ Other_ <br />ng lype: _ Single Family _ Duplex _Townhouse _ Mulli-Family � Commerr,ial <br />ofproJect: _New _Addition _Remodel�Repair_T.I._Sign_Sprinkler_Demolition_Change ofUse <br />'iption of Work (adtli;ional space provided on Ihe back) : ��.,�5 =— .2� eYhPOIC// a- CL i N�L <br />✓(��A1cJL� i�� Sirl/ iH.a�a� l�:C174'' <br />Have you started working without a permlt9 _YES �NO <br />MECHANICAL PERMIT APPLICATION <br />Typeo(ProJect: _New_Atldn _Alteretlon_Repair <br />KLER/SUPPRESS <br />PLUMBING PERMIT APPLICATION <br />ofProject _New_Addn _Ailerotlon_Repair <br />Medical Gas <br />Olher: <br />� Numhero�Heads ' <br />I hereby certify Ihat I have read an0 ezaminea this applicalion and know tho same to be true antl correct. All provisions of laws and ordmances governing <br />tnis rype of vrork will be complied vdlh whether specified hereln or noL The granling ot a permit does nol presume to give authonry lo violate or cancel <br />Ihe provision of any olher state or lowl law regulaling conslruction or Ihe pertormance of consWction. That I am authonzed hy the owner ol this properly <br />lo pedorm the vrork lor which application is matle and I compy with the State Conlractors Law 1827 RCW and 296200 WAC <br />/ /"s L ��� �� •2��/i�pa�e (Revised?12077) � - <br />OwnerlAulhodzed A nt SlpnatGre '/'� <br />