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PERMIT APPLICATiOM <br />BUILDING/IVIECHANICAL/PLUMBING/SICfv/SPRI��it�LER/DEMOLITIGN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org / <br />/1PPLICATIONS ARE ACCEPTED FkOM 8 AM TO 4 PM o� ���� 'I <br />ennwFSC• .. PROPERTYTA%p 2ERMIT# . <br />/ <br />fornewconslruction: Short <br />l I M K-�`+"lN 7 <br />��-�} IrSt� s•t�x <br />r.TnR 'T l.'rl /Ci4 � <br />l I S�'` S't•• � r S e <br />BUILDIPiG PERMIT APPLICATION <br />ODo <br />(atlach copy of long legal descriplion) <br />Phone,'E-mail I NZs ) 5�?�- 3 8 7 N L w�� ��'^^�j�'V <br />L & I Lic. <br />�1 L✓' LTI. !i✓�<� N � '� <br />PhonelEmail� y 1-5 � <br />PRICE OF WORK <br />878 c..�� <br />Existing Use of Building _ HEAT SOURCE: <br />Proposed Use o( Building Gas_ Emctric_ other_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Mulli-Family _ Comrnercial <br />Type of projecl: _ New _ Addition __ Remodel _ Repair_ T.I. _ Sign _Sprinkler �Demolition_Change of Use <br />DesCriplion of Work (atltlifional space pmvided on fho back) ; n���` G� S�,�, y b�.�� n4 I-o ;� ��v � <br />f� <br />V� 14jL � Z SlJ/' S �-. IC T�in� I L� �c�> CG . NJti�G A J�LIr-(i �L.�«/Jcc� <br />i �s r R s,s, ,J� y <br />Have you started worhing wilhout a permtl? _YES �NO py� i 1� 'v ��"� v`�"�f�1 �"r <br />! MECHQNICAL PERMIT APPLICATIQN PLUMBING PERMIY APPLOCATION <br />of ProJocl: _Now,_,Addn _Alturation_Ropalr <br />ShowNumbr.r(q) o/lixtures <br />of ProJuct: _Now_Atldn _Altoratlon _Ropair <br />Medical Gas <br />Other: <br />Other: <br />I hereby cedify thal I have read and examined this applicatlon antl know Ihe same to be We and cortect. All provisions of laws and ominances goveming <br />�his rype ol work will be complied wi� whether specifed herein or noL Tho granting of a permit does not presume to give aulhonty to violate or cancel <br />Ihe provisio any oth sta e or lo I law regulating conslruclion or Ihe performance ol construclion. Thal I ain authoiized by the owner of this property <br />to pedor ho vork for � hi appl'o ' n is made and I comply wilh Ihe Stato Contractors Law 1827 RCW and 296.200 WAC <br />�< �r �y � s zo,� <br />OwnedA ho Ago t natu o Date (Revised2/20i1) <br />l <br />