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PERMIT APPLICATION <br />BUILDINGIMECHANICAL!PLUMBINGISIGN/SPRINKLERIQEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAiC 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� <br />� <br />TAX N <br />tt <br />lor new construction: Short PlaUsu6div�sion_ Lol No._ Ialtach copy of long legal description) <br />r� <br />. <br />BUILDING PERMIT APPLICATION <br />Exisling Use of Building <br />PhonelEmail <br />r,(�.1� n� <br />�ail `�ZZ <br />,CT PRICE OF WORK � <br />1/ <br />'c4 Nncr•mqll� ph� <br />Q$3+/� yzs 2389( $/ <br />Proposed Use of Building � — – — — <br />Bulldinglype: _Sing�eFamily _Duplex_Townhouse _Multi-Family _Commercial <br />Type of project: _ New _ Addition _ Remodei _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Chan3e of Use <br />Descr;; tion of Work (oddrtional spaco provided on tho back�: <br />A�Di�� R to f���fi t�wt�o �'�u�.� io-fco�,(- c� �-I�vse. �o2ch <br />you started working without a permil? _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />of ProjoCl: _ Now_Addn _Alleratlon _Ropalr <br />� Othe <br />SPRINK�LER I SL <br />SYS <br />PLUMBING PERMIT APPLICATIOI� <br />ol ProJoct: _Now _Addn _Alturetion _Repalr <br />Medical Gas <br />Olher: <br />I Number of Heads ' <br />I hereby certify iha!-� have read and examincd Ihis app�ication and know lhe same to he truo and correc�. All provisions �aws and ordinances governing <br />Ihis lype of woik wil be complied with whether specified herein or noL Tha qranting ol a permit Aoes not presume �0 9ive authcnty to violato or cancel <br />Ihe pmvision ol a��olher slate loc la�v regulatin9 consWction or the peAormancc of constructioa That I am aulhoiizeA by lhe owner of this propeAy <br />to pedorfri the�r6rk for�+tys7i ppliy��n is it�edo and I comp„ wilh iha S�ale Contraclors Law 18.27 RCW and 296200 WAC <br />(Revised7/2077) 1I2 <br />