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PERMIT APPLICATION <br />BUILD�NG/MECHANICAL�PLIlMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — wvn�✓.everethva.org <br />AppLICATIONS ARE ACCEPTED FROM II AM TO 4 PM <br />PRf10FRTYTA%:7 PERMIT# _ <br />9� <br />!or new constmction: Shoit PIaV: <br />� �FL v�G�2 - E <br />�ol UNroi.t ST � <br />rr <br />Lic. # <br />%T� r /�/o.�r��r�t <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building <br />I• <br />�� <br />No._ (allach copy of long legal de;cription) <br />o/ <br />ou MEcK<EQ <br />PRICE OF WORK <br />Proposed Use o( Building ��� Gas_ eiectnc__ �mer_ <br />Buildingtype: _SingleFamily _Duplex_Townhouse _Mulli-Family _Commercial <br />Type of project: _ New _Addition _ Remodei _ Repair _T.I. ✓Sign _Sprinkler _Demolition_Change of Use <br />Desc�iptionofWork(additionalspaceprovidedonfheback): MOD�F7' AN �K(57ik� 7���orrrvureaneu5 <br />,rAccc�Y ��� R�PtA�r7�KY oF �%lq�BL FlrlTFNNAS A/�D����T/o� oF <br />� QIEMol'B �2Ay'�Io �ADS �R�%� s� aKv 3 5✓�2G� �R�m1��i��5 QT TH� <br />i: aae you started working without a permit7 _YES �NO �Cas�'�'J uu6cf <br />MECHANICAL PERMI'+ APPLICATION PLUMBING PERMIT APPUCATION <br />ot ProJect: _Now_Addn _Alteratlon _Repair <br />oi Pro)ocl: _Now _Addn _AI[eration _ftepalr <br />ShowNumbcr(#) o�fix(ures <br />Medical Gas <br />Other. <br />� I Number of Heatls I I ' <br />I hereby certify lhat I have read and ezamined lhis application and know Ihe sama to bo irue and correcL All r�ovisions of laws and ordinances goveming <br />this lypo of woik will be complied wi�h whelher specified herein or not. The granting ot a permit does nol presume to give aulhonty lo viula�e or cancel <br />Ihe provision o(: ny ciher state or local law regulaling conslruclion or Ihe pertormance of consWction. i hat I am aulhoriz�d 6y the owner of lhis property <br />lo perlorm �h�`vork lor which applicalion lo made and I comply wilh Ihe Slale Conlraclors La�v 18.27 RCW and 296200 WAC <br />�if,{� 5 % �// <br />�";' ate (Revsed 7/2071) <br />Ov:ne��z�d�� Signatu—�— <br />Ite� <br />( I� <br />