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PERMIT APPLICATION <br />BUILDING/MEGHANICAL/PLUMBING/SlGNISPRlNKLEr�/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �—) �` I <br />ADDRESS: PROPERTY TAX N PE���OZ—O� <br />�, c �.,..��u �.�., / r.��..+�- �J„c. iJnuo stRninnnr�,,r, <br />for new constructiou: Shotl <br />BUILDING PERMIT APPLICATION <br />No.� 7alte�l�eopyum� <br />�� 1 N23).5�8 -3f <br />P �Jc/t � I.J s <br />e �,., � <br />La.t �- LK , <br />Phone/�mail <br />FOR PERMIT µ�7 <br />u T/M l�'i�J7 <br />T PRICE OF WORK <br />legaldesuipliun)u��� I�y S�L 5 <br />f m /rl/qH M �tI.CJ++ <br />4����r� �l�Zdf1 <br />�,.� .�n. . • GuM <br />To���a.� L4u)�vg 39 8 <br />Use of Building � HEAT <br />"v�,.,�o� Nzss�e-��6 <br />posedUseofBuilding 7i_� �[y..., �. �ZG�:(�.�i..�� I Gas C� Eledric_ Olher_ <br />Iding type: � Single Family _ Duple� nhouse _ Multi•Family _ Commerciai <br />ie of project: � New _ Addition _ Remodel _ Repair_,T.I. _ Sign _Sprinkler_Demolition_Change of Use <br />>crip�ionofWo�k(adtlilionalspacoFrovidedonfheback): �"J `✓�)��µL� ^/f..✓ L�N"l/-�-c/�>„J 2 f��` <br />5«ylc �u„�.��� �r>�,s�l��« 2Sfdy N-R�rO 3-��9it1 Z�ti� �S�u�y� i <br />ie you started working wfthout a permit7 _YES �NO <br />MECHANICAL PERMIT' APPLICATION PLUMBING PERMIT APPLICATION <br />ofProJoct: �Now_Addn _Altoratlon_Ropair <br />ShowNmn6cr(pJ o/fixfures <br />A/C _ air handlinn imite <br />of Projecl: ,�Now _Addn _Alturation _,Repalr <br />Show NumberlN) ol0xfures <br />� Othcr Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM Other: <br />Number of Heads —�— �t D Other: <br />1 hereby certify Ihat I have read and exam ed Ihis applica�ion ard know Ihe same to Ge lrua and correct. All pmvisions of laws and ordinances goveming <br />Ihis lype ol wo� 11 be co � I� �vilTi wh lher specifed herein or not. The granting ol a permit does not preswne to give authority lo violato or cancel <br />the pmvision ol y other s Ie r locat I ulating construction or the perlorm�.nce of cons�ruction. Tha� I am aulhorized by Ihe owner ollhis propedy <br />lu pertorm th v ly fqr whi h vlicat is m. e antl 1 comply with the Stale Conlraclor Law 1827 RCW ond 29G.200 WAC <br />C�l ZZ <br />�� <br />(Revised?/101 f) <br />