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PERMIT APPLICATIUN <br />BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/D�MOLITION <br />CITY OF EVEREYT 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 construclion: Short <br />< <'��v�� _/ icP via�� i�o <br />BUILDING PERMIT APPLICATION <br />Exisling Use of <br />Proposed Use of Building_ <br />Building lype: _ Single Family _ Duplex _Townhouse _ Multi-Famil'y� <br />Type of project: _ New _ Addition _ Remodel _ Repair _ T.I. �; <br />i\ <br />Description of Work (additional space provided on fhe back): <br />1`l\'�'vv..�✓�4s)-t.. W (iJ(.�Y.� s�v— <br />you staRed working without a permit7 _YES _,NO <br />MECHANICAL PERMIT APPLICATION <br />otProJoct: _Nuw_Addn __Altoration_Ropair <br />ShowNum6cr(plollixtures _ <br />NKLER/SUPPRESSIO <br /># <br />r.,_ ov(� <br />(atlach copy of long legal description) <br />PRICE OF WORK <br />7 <br />HEAT <br />_Demolition_Change of Use <br />PLUMBING PERMIT APPLICATION <br />ofProJoct: _Naw_Addn _Alloration_Ropair <br />Medical Ga; <br />Other: <br />Other: <br />I hereby certify ihal I have read and ezamined ihis applicalion and know lhe same l0 60 lrue and correct. All provisions of laws and ordinances governing <br />ihis lype of work will be wmplied with whether specified herein or noL The granling of a perm!t does not presume lo give authority lo violale or cancel <br />Ihe provision af any olher slale or lacal Iaw regulating construclion or Ihe peAormance ot conslruction. Thal I am authorized 6y the owner of Ihis property <br />Io pedormy� r or which application is mado and I comply with the State C ntractors Law 18.27 RCW and 296200 WAC � <br />�'/,���- �`� _/ z <br />(Revised 22017) <br />