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� <br />i <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., �verett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �`-' I�'" I� <br />. . . .. PERif.1T N <br />����.,,,.,�......,'�ilc� ,$f Evesc.�i-i- u° <br />.EGALIornewconsUuction: ShortPlaUsubOivision_ <br />)WNER a�SlS `t �o Ce��-lr � <br />lddress .V �X �+7� F<« ��� <br />70NTRACTOR M C l� �I �;� <br />>dCresso(fY�-D f7w`( � ` ��T"� bU.� <br />fENANT BUSINESS NAM <br />S�,�vti �o �� <br />BUILDING PERMIT APPLICATION <br />Existinq Use of Buildin9 � �� <br />� �'2eosiB�3o�sio� � S ��n4 -v < < <br />Lol No._ (attac� copy ol long legal tlescription) <br />Phone/E-mail <br />�.�( CirylSlate/Zip <br />L81Lic.# / t p $/TU3� � <br />�I/A 1 �F73 Phone/Emai�6G' ��'�32� b ���` .5�� <br />CONTACTFORPERMIT ��•III� L�(�lC� <br />PhonelE�maid��424-i3�s- p�l��+ W! �$1 N•�b <br />CONTRACT PRICE OF WORK <br />HEAT SOURCE: <br />Proposed Use of Building ��'� � --" -- -- <br />Building type: _ Single Family _ Duplex _Townhouse _Multi•Family �Commerciai <br />Typeofproject: _New _Addilion _Remodel _Repair_T.I.�Sign_Sprinkler_Demolition_Change otUse <br />DescriplionofWoi4(addilionalspaceprovidetl/ontlhe�ack)e:. 1I- �I V 1 �5I (� �s�qy oy�4� �S�1 <br />��S�aM �,S�.q� py ' �h4 w��"'"� te wf:o�, i +w��� � ��ufi \ <br />ib <br />u <br />Have you started workin8 �thout a permlt? _YES ,�10 <br />� MECHANICAL PERMIT APPLICATION PWMBING PERMIT APPLICATION <br />Type ot ProJect: __New _AAdn _Alteratlon _Repair I Type of ProJact• _New _Addn _AlteraUon _Repalr <br />Show Number (p of lixtures <br />Gas <br />Othec <br />� NumberofHeads � """'. <br />1 hereby certiry that I have read antl examined lhis application antl know the same to be We and conect. All provisions o11.3ws anA ortlinances Boveming <br />this type ol work will be complied vnlh whelher specified herein or noL The granUng ol a pertnit does nat presume to give aulhoriry te violate or cancel <br />t�e provision ol any othar stale or lowl law regulating constmction or the Fertormance o( mnsWction. Thal I am authonzetl by lhe owner ol this prope�ty <br />to peAorm the work br �ch applicalion is matle and I wmply vrith l�e Slate Contractors Law 1827 RCW and 296200 WAC <br />�I` 1 �l/1 L� / i 1 � � � _ ( � <br />OwnerlAuthoAzetl gent Slgnature Date (Revised 2/2017) <br />