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!� <br />PERMIT APPLICATION �b �� � �� <br />BUILDINGIMECHANICAL/PLUMBIMG/SIGN/SPR!NKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />320� Cedar St., Everett, WA 9820 �- 425-257-8810 — FAX 425-257-8857 — www.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />ADDR S5: PNOPERTY TAX p PER�N I I// J <br />�20� �,�- �� ,��11,1,�/-n - <br />Ior new construction: Sttwt PlaVsu6tlivision Lot No._ (attach copy of long legal description) <br />t � ,� ��p� Phone/E-mail <br />Ci�y/S�ale/Zip <br />ACTOR � n (1 (�Q. /, LI�C. L& I Lia � O / <br />•�L�� Z�\ �'L 7. �/. 7'�i/N �l'�1�cap Phone/Email ZJ� J� � <br />T BUSINESS NAME CONTACT FOR PERMIT I <br />PhonelE-mail {N • �� 1 �� VL U�( <br />DIPlG PERMIT APPLICATION CONTRACT PRICE OF WORK v <br />Use of Building <br />Proposed Use of Building I �as__ ��r�����__ �--_ <br />Building lype: _ Single Family _ Duplex _Townhouse Multi-Family _ Commercial <br />7ype of projecl: _ New _ Addition _ Remodel _ Repair�T.l. _ Sign _Sprinkler_Demolilion_Change of Use <br />DesC/rip�lion o( Work jaddifional space provided on fho back): <br />!—:�`��i�!lin �rL ���C <br />\ � <br />Have you slaHed working without a permit7 _YES NO <br />MECHANICAL PERMIT AP?LICATiON <br />TypoofProject: _New_Addn _Alteralion_Repair <br />Show Num6er (q) ol /ixtures <br />/ <br />SYSTEM <br />�LUMBING PERMIT APPLICATION <br />01 ProJocl: _New _Addn _Alteretion _Repalr <br />ShowNumber(#1 ol(ixfur^s _ <br />Med��cal Gas <br />Olher. <br />� Number of Heads � � I Other: <br />I hereSy certif�/�hal I have r nd examined Ihis applicalion and know Iho same to bo Ime and conecl. All provisions of laws and ordinances floveming <br />this �ypo o( w'j')-y,� vi e, mplied � ith whether specifed herein or nat. The granling of a permit does nol presume to give authonty lo violate or cancel <br />Ihn pmvisionl �f��/�ny, te� le or� ocal law regulating canslructlon or the pedormance of conslruclion. Thal I am authorize] by the owner of this property <br />lo pe form t po N 1, r which app�icatlon is made and I comply with Ihe State Conlractors Lew 1827 RCW and 29�2�0 WAC <br />��� . ,.�., <br />Dale <br />(Rcvised?l2077) <br />