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PERMIT APPLICATI�Ofd <br />BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRIfVKLER/DEMOLITIOf� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 93201 - 425-257-8810 — FAX 425-257-8857 — www.everethva.org � r <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM ��- G <br />ennaFss• . w PROPERTYTA%k PER T#� �h�_,, <br />��— <br />lor new canslmc�ion: Shod PlaVsubdivision . Lol No._ (atfach copy of long legal descdption) <br />� <br />& <br />lg�o9 -���� �h,.�;J.# <br />ILDING PERMIT APP6.ICATION <br />Use of Buildinc� <br />d Use of Buildir <br />i� <br />PRICE OF WORK <br />HEATSOURCE: <br />ng type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />of project: _ New _ Addition _ Remodel _ Repair_ T.I. _ Sign _Sprinkler_Demolition_Change o( Use <br />'iption Of Wofk (addifional space provided on the back): <br />you started working wilhout a perm(l7 _YES �NO <br />MECHANICAL PERMIT APPLICATION <br />ofProJoct: _New_Addn _Altoratlon__Ropair <br />ShowNum6erlpl o/lixturos _ <br />SYSTEM <br />PLUMBING PERMiT APPLICATION <br />ofProJoct: _Now_Addn _Altoration_Rnpair <br />Medical Gas <br />Other: <br />� I Number oi Heads I I � ""'°'. <br />I here6y certify ihal � ave read and examined Ihis application and know the same to be true and covecL All provisions af laws and ardinances goveming <br />ihis typ ork will complied with whether specifed herein or not. The granting of a pertnit does nol presuma lo give authonty lo violale or cancel <br />ihe pr ision t any t r state or local law regulating conslruction or Ihe peAormance of conslruction. That I am aulhorized by (he awner of Ihis property <br />to peA e v+ork 1 hich appllcalion is made and I comply with Ihe Slale Contraclors Law 18.27 RCW and 296.200 WAC <br />�-b-li <br />OwnorlAuthodzed Agont SlgnaWro Date (Revised 2R077) <br />