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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Ceda� St., Evereti, WA 98201 - 425-257-3810 — FAX 425•257-8857 —www.everettwa.org <br />AFPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />......,.-..�. . _ . _ . PNOPERTYTAXp PEfj�M1T#� .. � _' <br />fornewcanstruction: Short <br />�aivision__ Lot No._ (altach copy ol long 1=gal description) <br />�� � � <br />PhonelG�mail � S - v <br />( jZ ( c�iws�at�iz�c L �lC"�s <br />� <br />�`, �= L&ILic.# (�L <br />i /� <br />- -(�'(:� �\ � Phone/Email � �<-J 'S �G' � <br />CONTACT FOR P RMIT / <br />� �', �/ �- l'�.�-�/.lr�i�/Y <br />PhnneJE-mail �/Zr S/�p " �%_'>d�cP <br />IL�ING PERMIT APPLICATION <br />Use of Building <br />PRICEOF WORK �QC:U, G ;,!_ <br />SOURCE. <br />'roposed Use of Buildiny � — ' ' --- = <br />Wildingtype: _SingleFamily _Duplex_Tovmhouse _Multi-Family _Gommercial <br />'ypeotprojecC _New _Addition ,_Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change ofUse <br />)estription ot Work (addi(iunal space providetl on fhe bzck) : <br />%Z�!_ccf�r<�� D��fS /``��� <br />you started working wilhout a permit7 _YES � NO <br />MECHANICAL PERMIT APPLICATION <br />ofProject: _New_AJ�In _Alleretlon_Repalr <br />Show Numbcr (N) ol fidures <br />I �iC _ air hindtina units <br />healer <br />PRINICLER / <br />PLUMBING pERMIT APPLICATION <br />ofProject: _New_Addn _Alterallon_Repalr <br />Show Number(NJ olllxfures <br />rloor ar <br />Grease <br />Other: <br />Gas <br />� � Num6erofHeads II I umer. <br />I hereby cerlify Ihat I have read and examinetl Ihis application and kno•.v Ihe sama to 6e ime and correcl. All pwvisions of taws and ortlinances govemin9 <br />this type of work will be co�nplietl vnlh whether specifed herein or not. The granling ot a permit don not presume to give authonty lo violate or cancel <br />th, provision al any olher stole or .,ai law reguiating constiuction or tha pedcrmance ol consWcUon. Thal I am authonzed by the owner ol ih�s property <br />to oertoi*n 1116 wnrk lor wh�yP( a Lcalion is made �1comply wi�h Ihe Sta�e Contractors Law 1827 RCW end 298200 WAC <br />:/ � <br />i'' / <br />= " .' ,� ��, : -,,. : , �l <br />��� <br />O�vncr/AcRWrized A9en1 519hafure / Date (Revised 7/201/1 <br />