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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLtTION <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 8 AM TO 4 PM <br />ADDRESS: <br />for new cons�rudion: ShoA PlaVsubdivision Lol No._ (at�ach <br />BUILDING PERMlT APPLlCATIOtd <br />Existing Use of Building <br />PhonelE-mail <br />CONTRACT PRICE OF WORK <br />of long legal description) <br />�V LS � <br />Proposed Use af Building — <br />Building type: _ Single Famiry _ Duplex _Townhouse _ Multi-Famity � Commercial <br />Type of project: _ New _ Addilion _ Remodel _ Repair �, T.I. _ Sign _Sprinkler _Demolition_Change ot Use <br />DesCription of Wor (addifional spaco providetl on fhe back/: <br />Zn15nw- ��) �1�� l�4p��t�v; ��^gE «E.���,t r�A�n f�4� li�� <br />Have you slarted working wilhout a permit7 _YES �NO <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Typo of ProJect: _New_Addn _Altoration _Repair <br />Show Number (#) o( fixfures <br />I A/C — air handling unils <br />/ SUPPRESSION <br />ot ProJecl: _Now_Addn _Allnratlon _Repair <br />shnw Num6erlNl of fixtures <br />Medical Gas <br />Other: <br />' I Nwnber of Heads ' <br />i P�.,re6y certify thal I have read and examined this application and know Ihe same �o be true and correcL All provisions ot laws and ordinances governing <br />tr��.�; type of work will be complied with whether specified herein or nol. The granting of a permit does nol presume lo give authaity to violale or cancel <br />tl-,c provisio� of any olher sta�e or local law regulating construction or Ihe pedormance of construction. That I am aulhorized by the owner of this pmpeny <br />ro perforra the work for which applicalion made and I compty �vith the Slale Contrac�ors Law 1827 RCW antl 296200 WAC <br />�� i <br />�\�, .� f 1� z <br />OwnorlA�t izod Ag t Sf2 ature � Date (Revised711011) <br />/L <br />