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PEIRI1iiIT �4PPLICATIOIW <br />BfJILDING/MECHAfVIGAL/PLUflABING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.e��er � a.oarg_��( <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />._....�..... _ VROPERTY TAX N PERMIT � r,..� _ <br />for new construc�ion: ShoA PlaUsubdivision Lot No._ (altach copy ol lo�.� legal descriplion) <br />& I Lic. <br />BUILDING PERMIT APPLICATION CON7RACT PRlce oF woRK�('i o�� • <br />Existing Use of Building l)f �a.M'� HEAT SOURCE: <br />Proposed Use o'f B�uilding 'N'eM`� � Gas_ Eledric_ O�her_ <br />Building type: � oingle Family ___ Dupiex _Townhouse _ Multi-Family _ Commercial <br />Type of project: ,_ New _Addition _ Remodel _ Repair_T.1. _ Sign _Sprinkler _Demolilion_Change of Use <br />DescriplionofWork(additionelspacaprovidedonfheback�: i7�_�op� <br />1� <br />Have you staRed working wilhout a permlt4 _YES v NO <br />MECHANICAL PERRIIIT APPLICATION PLUMBING PERMIT APPLICATION <br />otProJect: _Naw_Addn _AltoraUon_Repalr ITypeofProJec4 _New_Addn _Alteration_Ropalr <br />Show Number (R) ol �xtures Show Numbcr (p) ol Rxtures <br />Medical Gas <br />Other: <br />I Number of Heads � """'. <br />I hereby cenify thal 1 have read and examined ihis application and know lhe same ta be lrue and correc�. All provisions of laws and ordinances goveming <br />this �ype of work will be complied with wfielher specifed herein or not. The granting of a permil does not presume ta give authority to vioiale ur cancel <br />lhe pravision of any Wher slate or local law regulaling conslruclion or the perlormance of conslruction. Thal I am au�horized by Ihe ovmer of ihis propeAy <br />to pertortn t �ior or w ich pplication is made an I comply with Ihe Sta�e Contraclors Law 78.27 RCW and 296.200 WAC <br />OwnerlAuth riZod Agont Sign�ro ``_ Pale (Revised 2/2017) <br />