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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGlSIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES �{ — I j— I i <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 <br />ADDRESS: /:�i.pre/T PROPERNTA%N P�J2MIT0 <br />�il���! <br />ror new conslruclion: Shotl PlaVsuUtlivision Lot No._ (at(ach copy ol long legal descriplion) <br />_3C' <br />BU�ILDING PERMIT APFLICATI�N <br />Use cf Buitding <br />f' r'S: C'.3 <br />I Lic. # <br />PR�CE OF WORK <br />- � L2 <br />Proposed Use ol Building � Gas Eiectric_. Olher_ <br />Butlding type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of proiect _ New __ Addition _ Remode' _ Repair_ T.1. _ Sign _Sprin!cler_Demolition_Change of Use <br />Description of Work (adddional spaco providad on Ino bacY.): <br />Havc you started working without a permlt? _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />c( ProJoct: _Naw_Addn _Allaratlan _Rspalr <br />Show Number (H) a! lixfures <br />� d/C _ �ir hanrVlinn undc <br />SYSTEM <br />Heads <br />PLUMBING PERMIT APPLICATIaNi <br />ol ProJoct: _Now_Addn _Alteratlon _Repalr <br />Medical Gas <br />Other: <br />Other. <br />I hereby certity tt�al I have reatl and examined this applicati,�n and kno�v Ihe same to be tme and correct. All pmvisions of laws and ordinancn,s goveming <br />this lype of wo�k will he complied viilh whe;her specifed herein or noL The grenling ol a permil does nol presume �o give au�hority Io violale or cantel <br />Ihe pmvision ol any olher slal� or !ocal law regulaunp constmction or the pedonnanco of conslructimi. Thal I em authorized �y the ovmer ol this pmperty <br />lo peAorm Ihe wmk lor which application is made anC I comply wilh the Slale Coniractors Law 7827 ftCW and 2962U0 WAC <br />I . L �/ �\ <br />/ l / <br />r � ; r � � ��-t �� ceCJ r -� 7' �.7--� �- /l <br />wnorlAu�horizetl Agent Slgnatura Ua;c /RevisedYt01 Y <br />/? <br />� <br />