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PERMIT APPL.ICATION <br />BUILDING/MECHANICAL/PLIiiVIBINGlSIGN/SPRINKLERIDEMOLIT[ON <br />CITY OF EVERETf PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM �`� S� � 2 <br />AD�RESS: ^ , ^ , PROPERTYTA%k N <br />�l <i � /�i2 <br />tornewcons�ruction: Short <br />NG PERMIT APPLICATION <br />No.� (attach copy ol long legal descriplion) <br />8 I Lic. # ` � <br />PhoneJEmail 2� < <br />7NTACT FOR PERMIT / _� J <br />C��� / <br />ionrJE-mail yLS ',S/�O^ �3 � <br />7NTRACT PRICE OF WORI' L L <br />Use of Building � <br />d Use of ilding <br />type: _ S(ngle Family _ Duplex _Townhouse _ Multl-Family _ Commerciai <br />1C��!/�/� <br />fype of project: _ New _Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler_Demolition_Change of Use <br />!SGiplion o( Work (addif/onal space provlded on fhe batN) : <br />/�.�GvG .4TZcy✓ O� Ga A>` iL�fG rG ,e- <br />rvo you startud working wilhout a pormit7 _YES NO <br />MECHANICAL PERMIT ANPLICATION I <br />ofProJecL• _New_AAdn _Altcra!:on_Repalr <br />ShowNumheilNl olRxfures <br />PLUMBING PERMIT APPLICATION <br />a1ProJecl: _New_Addn _Alleratlon_Repalr <br />Shaw Numberlpl a/ /lxfu�es <br />hledical Gas <br />Other: <br />Olher. <br />I hereby cetlity Ihat I �avo read and examined Ihis upplicalion and knrnv tha sama ta be true antl mrrect. All provislons ol laws and orOinancee govem:ng <br />this ype of work vnil be complied wilh whelGer specifed hereln or not. The yranting of a permit dces not pre�ume to give auNariry lo violale or wncel <br />ihe pmvision ol any ot�er state or local law regulating wnslrudlon or Uo peAormanca ol consVuclion. That I am authonzetl by Iho owner ol lhis properry <br />to perlorm lhe wnrk for wfilch eppl' �on Is matle and I compp� vnth the Stele Contractor. Law 1827 RCW and 298.200 WAC <br />� /./�� �� s =�s-/� <br />OwnerlAutfiodae�A-9entS nntum Dale (Revised7/1011J <br />