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PERMIT APPLICATION <br />BUI LDIPVGIMECHANICAL/PLUI�461NG/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERE'; T PERMIT SERVICES � Z /G �� <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 – FAX 425-257-8857 – www.evev1r�etlwa.org _ OO <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /i �� 1� �"� <br />.1,0 <br />fornewconslruction: ShoA <br />����.�;�,«�(' L <br />NG PERMlT AI <br />Exisling Use of Building <br />m <br />� <br />Lol No._ (attach copy of long legal descnpuon) <br />hone/E-mail <br />ity/State/Zip <br />& � ���. # E .� ��s2 I�� <br />�/4/�jL/ Phone/Email�J(�-3y�i-S�ot <br />:ONTACT FOR PERMIT 1/ �L(,1 7� <br />Y-P <br />�hone/E-mail ��(., -% = - /� ��'ti�` 1�Z' <br />;ONTRACT PRICE OF WORK � --� <br />HEAT SOURCE: <br />Proposed Use of Builtling — - <br />Building type: ,_, Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Typeofproject: _New _Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change ofUse <br />DesGfiption Of V'Jork (addilional space pmvided on Ihe back) : ,// �. /� 7 � <br />L�7�G��t� r� ��.i�j�-i�' C���UI� �,Y ir.acZ1�1/ l�j�r✓1��. � fI- D� <br />Have you slarted wor�g withoul a permlt7 _YES _NO <br />MECHANICAL PERMI7' APPLICATION PLUMBING PERMIT APPLICATIOPI <br />rypeofFroJech _New_Addn _Alteration_Repalr ITypoofProjaL• _New_Adtln _Alteratlon_Repair <br />Show Numbe� pq of Iixtures Sho � Number (M) o//Idures <br />Medical Gas <br />Other: <br />� Number of Heads � """'' <br />I hereby cerliy Ihat I havo cead and examined this app'icalion and knmv the same lo be true and correcL All provisions of laws and ortlinances go�eming <br />Ihis type of work will be wmplied �vilh whether specified herein or not. The granting of a permit does not presume to give aulhority to �iolale or wncel <br />the pmvis�on ol any olher state or lowl law regulating construclion or lhe pedormance of construction. That I am authorized by l�e owner of this properry <br />to pedorm lhe.vrork for which application is made and I comply wilh Ihe State Cortrac!ors Law 18.27 RCW and 2962�0 WAC <br />/ �. <br />�.l.�—. �L l (� <br />Owncr/Aulhortzetl Agenl Signature <br />I ale (Reeised7J=017) <br />�z <br />