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PERMIT APt�UCATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLI'fION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />qpPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />for new conslruction Sh�� Plat/subdivision �o� <br />8 I Lic. <br />ILDING PERMIT APPLICA'i:4N <br />(allach copy ollong leqal description) <br />G�✓G /C 14 <br />PRICE OF <br />.� <br />Existing Use of Building �i HEAT SOURCE: _ <br />Proposed Use of Building I � c��? E�ectric_ Other_ <br />Building type: �ingle Famity _ Duplex _iownhouse _ Muiti-Family _ Commercial <br />Type of projecC ,� New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolltion_Change of U=e <br />DesCriplion oi Work (add/it1ion�l space providetl on fhe back) : <br />L�it...�(,� W �i- N/Ns�l� <br />you started working without a permit7 _YES �NO <br />MECHANICAL PERMIT APPLICATION <br />ofProjttt: _New_Addn _Alleralion_Repair <br />heater <br />F91;�1� <br />PLUINBING PERMIT AP?LlC/iT10N <br />ofProJceL• __New_Addn _Alleratlon_Repalr <br />[:IF4�1 <br />6ledical Gas <br />Olher: <br />I Number of Heads ' <br />I hereby certity Ihat I have reatl antl eKamined �his appliration antl kno�v Ihe ,ame to be irue and correct. NI provisions ol laws and orainances goveming <br />Ihis rype o/ weB will be wmplietl wilh w�ether specifed herein or nol The granling ol a permit does not presume lo give aWhority to violate or cancel <br />Ihe provision ol any other state or local law regula�ing conslmction or the pedormance of cons�ruc�ion. That I am authonzed 6y t�e o�vner al ihis pmperty {` <br />to pedorm �he �or whic p ication made and I compty wilh the State Contractors Law 7827 RCW antl 296200 WAC � /` t%� <br />/ 2� :� � <br />—" '—� / 5' / <br />—�"`� �Rev�sea v2oi» <br />�OwncrlAuthorizeJ A9ent Sl9nature �'�` <br />r <br />. .,. ,.iK,.tc.a...,..� � ". .�... ...,��_.,w.vr.-�AJ�.:,:7;- .�,. . . . .a ,.., __ u.:�,_.,, <br />