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i�ERMIi APPLICATION <br />BUILDINGIMEGHANICAL/PLl1P�4R;,1!G/SiGN/SPRINI�LER/DEMOLITION <br />CITY OF EVcRETT FERMIT SERVICES <br />3200 Cedar St., Everett, 1��A 98201 - 425-257 58' 0— FAX 425-257-8857 — w�r��.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />,4f_�JRFSS: PROPCRi/TAXq PERMIT# <br />��? h`l � N n, n,..�,- � :,, i � t� _..-��4 <br />fo� new constmction: Shotl PlaVsubtlivision Lot No._ (attach cupy o! long legal descfption) <br />ir <br />Y'_ <br />PERMIT APPLICATION <br />Lic. # <br />PRICE OF WORK <br />m <br />Enisting Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas__ Electric__ Other <br />Building �ype: _ Single Family _ Duplex _Townhouse _ Mulli-Family _ Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repair _ T.L _ Sign _Sprinkler _Demoliti�n_Change of Uae <br />Descrip�ion of WO�k (additional space provided on (he back): <br />Have you started working without a permitl _Y'ES _NO <br />MECHANICpL PERMIT APPL.ICl�'F"ION <br />of ProJocL _New _Addn _Allcratlon_Repa�r <br />Show Numbcr (q) ol fixturos <br />I nin _ ��� n�,,,�r,.,,. ������ <br />J <br />�v �l ,l �'a rCst j�''° rS <br />PLUMBIPiG PERMIT APPLICA7ION <br />ot ProJoci: _New _Atldn _Allerellon _Ropair <br />Medical Gas <br />Other; <br />Jther <br />I hereby cetlify ihat I have read and ezamided Ihis application and know lhe same to be We and corred, All provisions ol laws and ortlinances goveming <br />�his lype of work will be complieu wi�h wl �her specifed herein or noL Tho granting of a permil does not presume �o givo authority lo violale or cancel <br />rtie provision ol any other slale or loca aw reguialing conswction er the pertonnance of construction. 7hat I am aulhorized 6y the owner of Ihis propeny <br />to pertorm ihe work fo� which applic� an is matle 2nd I comply wilh ihe S�ate Conirac�ors Law 1827 RC6V and 29�.200 WAC <br />Agnnt$Ignaluio \ / �. Da(e (Revised22017J <br />c-' `/ <br />