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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.orq <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��-/�—/ Z— <br />_______ '�" nonocorv�nvn PERMIT# <br />39a/ iS/�� vr� ,� �� <br />lor new cons,�uction: Sr.ort PlaVsu6divi;��ion Lot No._ (altach copy ol long legal description) <br />� /�� L�LP���(/:+/L Phone/E-mail 72� /2� � ���_ <br />� j f/o �., ��e <br />,�ou�., �+erdc.,rc <br />��-i21Sr�� <br />yeq�/i�,�^T�� ��^�C�r,G� <br />BUILDING PERMIT A.PPLILATION <br />Use of Building � <br />al%J <br />>�iut,�, z � � ��� � ���a1��s ys�� . c� '7 - <br />J� /_.��yG��SIh� � �hone/EmailyZ�j 3�� -2��� <br />CONTF�6T FOR��R.f�IT <br />/l iCS�i�lJ��..an �7 <br />Phone/E-mail �%2 O � T � � <br />CONTRACT PRICE OF WORK O�2) <br />osed Use o( Building �- �« L Gas_ Electnc� otner_ <br />ling type: _ Single Family _ Duplex _Townhouse _ Multi-Family� Commercial <br />� of project: _ New _Addition _ Remodel _ Repair �T.L _. Sign _Sorinkler_Demolition_Change of Use <br />•riplion of Wofk additional spaceprovidedo/n fhe be n �,� c <br />�L.�.L �7r Qe���(��eC' �lCe �/'�'�� OPr'�9-TT/}clrt.�J�,-�.�!/r.�l <br />. <br />you started working withoul a permil7 _Yu5 �NO <br />MECHANICAL PERiNIT APPLICATION <br />of ProJect: _New_Addn _Alloratlon _Ropatr <br />Show Num6cr (q) ol fixmres <br />I SUPPRESSION SYSTEM <br />Number of <br />PLUMBING PERMIT APPLICATION <br />ofProJoct: _No�N_Addn _Altaration_Ropalr <br />Show Number (q) ol /ixfure, _ _ <br />Medical Gas <br />Olher: <br />Other: <br />I hereby certify that I have read and eaamined ihis application and know i�e same to bo truo and wnect. All pmvisionc of laws ea7 ordinances goveming <br />this type, of work will be complien wilh wlrelher specifed herein or noL The granling of a permit does nol presume to give authonry lo violale or cancel <br />Ihe provision of any bther state or local law regulaling construclion or the pertormance ol conslruction. Thal I am authorizetl by the owner ol lhis propeAy <br />lo peAorm the work for which applicalinn is matle a�id I comply wit Ihe State Contractors Law 1827 RC`N and 2961001M1'AC <br />% , -�=� . i 3 /�i z <br />OwnorlAulhodzed"Agont Signaturo Date (Revised 7l'017) <br />