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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLiTION <br />CITY OF EVERETT P�RMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � S-� �� <br />ADDRES3: PPOPERNTA%N PER IT• <br />3 a o� I�C.r � a.4�e Zo 0 <br />newconstmction: Short <br />LDING PERMIT APPLICATION <br />Use of Fuilding <br />Lol No._ (attach <br />��25 Z4=5 <br />PRICE OF WORK <br />ollong legal descnptlon) <br />aH 9oWc�- <br />�JNPYT \Q�Y�C�K <br />G�pay <br />� �-r-- � C � <br />HEAT SOURCE: <br />�sed Use of Builtling -- <br />ng type: _ Single Family _ Duplez _Townhouse � Multi-Family _ Commercial <br />of project: _ New _ Addition _ Remodel � Repair,_ T.I. _ Sign _,Sprink�er _Demolition_Change of Use <br />�iD�iOn of Work (addi�ional space provitled on Ihe back) : <br />you started working wilhout a permlt7 _,YES �NO <br />MECiiAN16AL PERMIT APPLICATION <br />ofProJecl: _New_Adan _AlteroUon_Repair <br />/ <br />of <br />/C� ��� u... (o w.j \`� f �� YC 1,] Gtiv'�i42, <br />PLUMBING PERMIT APPLICATION <br />iolProJect: _New_Addn �A��aration�Repalr <br />ShowNumY.erlplo//Irfures _ <br />Medical Gas <br />Other: <br />Othec <br />I hereby certiry Ihat I hava read antl examinetl Ihls applicafion and knav Ihe sama to be tme and corred. All pro�isions ot laws and orCinances goveming <br />this rype ol work will be compiietl vnih whelher specifed �erein or not. The granting ol a permil does noi presume to give aut�only lo viola�e or wncel <br />�he pmvision ol er slale ar I ulatin nslruction er t�e peAormance of construction. Ttat I am aut�onzed by the owner ol ihis properry <br />to perlorm Ifie �+vr or ich pli tion is m d w ty with l�n State Contractoro Law 1827 RCW and 298200 WAC <br />�� � ,�_,��Y-� 3/ � 2 � Z (Revised 7/101 f) <br />OwnadAuthodzed Agent Slgnaturo Date <br />V <br />.� <br />" <br />� <br />N <br />'V <br />