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PERMIT APi'LICATION <br />BUILDINGlMECHANICALIPLUMBING/SIGNISPRINKLEWpEMOLI i IrJN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-88 �0 — FAX 425-257-8857 —vnwv.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />lor new ccnstmction: Short PlaVsubdivi,ior� Lol No <br />i Lic. # <br />C�E� Z <br />IC�' (�c1� �YIC <br />S�L�-I� P�'L2o <br />UILDfNG PERMlT APPLICATION <br />Use of Building <br />L <br />–� 1`'i <br />(aUach copy of long legal tlescription) <br />/ <br />=rati r c,i- ��-, , _ <br />���f7n��i- ��}eL.:� C> <br />; c.t, r.,. <br />PRICEOFWORK .('�j,�j�j �•OU <br />� HEATSOURCE: <br />�roposed Use of Building_ � - — --- �— — <br />3uilding type: _Single Family _ Duplex _Townhouse _ Multi-Family _ Commerc. I <br />iype of project: _ New ,_Additton _ Remodel _ Repair_ T.I. _ Sign _Sprinkler _Demolition_Chan�a of Use <br />Description of Wotk (addilional spaceprovidedon fhe ba�k): - <br />1 � �,� 5��,-�� l-�c.:t pU �,, �, � n Yz� • <br />Have you started working without a permitT _YES _NO .� � 1� <br />MECHANICAL PERMIT APPLICATION PLUMBING PERM{T A[' <br />TypeafProject: _New_Addn _A�ter:riion '✓Repair TypeoiProject: _New_Addn _AI[oretlon_Repatr <br />Show Num6er (N) o/ (ixtures S6ow Number (A) of fixturcs <br />A/C – air handlina units Toilet <br />Other <br />I hereby certify Ihat I have read an� examinad this appiication and knoe� Ihe same to he true anC correct. All provisions of laws and oNinances governirg <br />R�is tyUe of work v�ill 6e comp6e0 wit} whelher specified herein or nul. l he granNng of a permit tloes nol presume to give aut�crity to violale or canczi <br />�he provisicn ol any olher slat[ or local law regulating coastrucGon ar the padormance of constmction. That I am authodzed �y the owner of this property <br />tc �:edcrm Ihe work for whiGi plication is made and I comply with the 9ale Coniractors Ww 1827 RCVJ and 296.£ JO 4V.4C <br />i <br />� � � ' , '� =7. i I �' / a.C� � � �Re�:sed iz2o�o1 <br />OwnedAulhoriz dAgent5lghatura Date <br />�I� <br />