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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., F=verett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.evereriw�org O� _ 0/� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: PROPER7YTA%N PERMITR _ <br />�7 � n /�o (�lr,w D.q L e �L c��.PNf� <br />for new conslruclion: Short PleVsuh <br />� �'q�e� SHv�>',n/ <br />l9 /9 f�o�� i�� <br />�.�i✓ <br />L <br />BUILDING PERMIT APPLICATION <br />Existing Use o( Building <br />(altach copy of �ong Iegal <br />PRICE OF WORK <br />H <br />Proposed Use of Building � " -- " - <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi•Family _ Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repair_ T.I. _ Sign _Sprinkler_Demolition_Change o( Use <br />Description o( Work (additional space provided on fhe beck/: \ I <br />N-ee1 ��=� w� �.Q S oN N�.e �,l�w �; ,�.0 �. �3 �� 9.,,�.,�, �.�' S -�'� �� <br />Have you started workfng withaut a pertnit9 _YES _NO � ✓" �/ /_ v r/ <br />MECHANICAL PERMIT APPLICATION <br />of ProJocl: _Nuw_Addn _Alteratlon _Ropalr <br />ShowNumber(M)o/flxtu/es _ <br />SP <br />PLUMBING PERMIT APPLICATION <br />of ProJect: _New _Addn _Allaratlon _Repalr <br />Medical Gas <br />Other: <br />I I NumberofH=ads �I i v���e�. <br />I hereby ceAi(y Ihat I have read and examined �his applicatlon nnd know the same �o be �me and cotmcL All provisions of laws and ordinances guveming <br />ihis type of work will be cmnplietl with whMher specified herein or noL Tha granling of a permit does nol presume �o give aulhority lo violate or cancel <br />Ihe provision ol any olher state or local law regulaling constmclion or Ihe pedormanco ol consWctlon. Thal I am aulhonzed Ey Ihe owner ol this property <br />lo pedonn the work lor which appljcati�is inade and I comply with the Slate Conlraclors Lew 7027 RCW and 29G.200 WAC <br />� _�•� `� <br />j � _ � j �i/� ��. C� l . �� <br />OwnorfAuthorizad Agont Signaluro Dale (RevisedY2011) <br />i . <br />L �. <br />