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� <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECFlANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVEi2ETT PERMIT SERVICES <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 ���`—I <br />ADDRESS: _ PNOPERTV TAN p PERMIT R <br />t� <br />ior new construdion� Shotl PlaUsubtlivision Lot No._ (attach copy ol lo��g legal descriphon) <br />�c + <br />BUILDING PERMIT APPLICATION <br />-JfO.J77 <br />PRICE OF WORK <br />ExistingUseolBuild�ng /jR„f..� s/l!`Ci K4MILy IZES��j,�/ H[l1TSOURCE�. <br />Proposed Use ol �mlding�j._/�� SAI%l� �i:M�Ly �sIV�+UC-E Gas__ [lednc J� O�her_ _ <br />Building type� �Single Family __ Duplez _Townhouse _ Mu�ti-Famity _ Commercial <br />Type ol pro�ecL ._ New _ Addilion � Remodel � Repair _ TJ. _ Sign _Sprinkler,Demoldion_Change of Use <br />DEseription of Work (adtlrfional spJce prondetl on !he backJ. �y(� /%nk.:' S d�Cw�N� �I �G,1�•+-� �o � y'q� �{ j <br />.��, <br />a ddr.�y �,/�i,�:�., �/ /.%;, y s�y ��� Jr r� «�. •N-, <br />you startetl working wilhout a permit7 _�YES _NO <br />MECHANICAL PERMIT APPLICATION <br />ol Projecl: ,_New _Addn _Allcration _Repalr <br />Show Numbrr (pJ ollixlures <br />nir _ �;. �. �„di��.. ��.,�tc <br />SPRINKLER/S <br />Number o! Heads <br />PLUMBING PERMIT APPLICATION <br />ofProJecL• _Now_Addn _Alteration_Repair <br />Show N�mbcr (M) 01 f ixtures <br />i — I Todel <br />fbuntmn <br />Grcase frap <br />Raof arrins <br />Medieal Gas <br />�iher <br />Olher. <br />I hereby cetldy Ihat I have read and ezamined Ih�s app�reatinn and know Ihe samc to bc Iruc and r.orred MI provisions ol laws and oiUinances aovcrnmg <br />�his lype ol woik vnll be comphe0 wilh whether SpeuGe� herein or nol. The yrunlmg o� a permit tloes nol pmsume lo give auihor�ly In wola�e o� cancel <br />the pwvision ol any olher stale o� In:al Uw regulalmg conslrucllon or the pertormance o� conslruc6on. 'ha� I am aullmri�ed ny the ormer ol Ihi, properly <br />Io periorm ihe work for which applitalion is made and I comply wii� Ihe State Con �rtor, Law SB 27 RCW and 296 20� W�C <br />t � <br />��-11-�/ <br />Owned uthorize ldgenf..�g ature � Date (!?ewsedJRUit) <br />