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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 —wvuw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />newwnstruction: ShoA <br />lG (u ia <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />No._ (altach copy ol long legal <br />Pnone/Email <br />PRICE OF <br />SOURCE: <br />Proposed Use of Building � ""'— `•- -- - --- — <br />Buildingtype: �ingleFami�y _Duplez_Townhouse _Multi•Family _Commercial � <br />Type of prqecl: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler !/ Demoiition_Change of Use <br />DeSaiplio0 of Wo�k (adtlilionai space provided on Ihe back) : <br />��nn..�-C. �.�rC' G'un...7� � �)U.�je <br />Have you started working wilhout a permit7 _YES '�O <br />PE RMIT <br />ofProJect: _New_Addn _Alterollon_Repalr <br />Shaw NumberlMl olllufures <br />PLUMBING PERMIT <br />of ProjecL• _New_Addn _Alterolion_Repalr <br />Medicai <br />Oiher: <br />� I Number ol Heads I I � ""'r'. <br />t hereby cedity that I have read and eaamined this app�iwlion and know Ihc same to be tme antl wrrecl. All pmvisions ut laws and ortlinances goveming <br />ihis type of woik will be complied w�th whether specified �erein or noL The g�anting of a Ferm�t does not presume to give authority to vioiate or cancel <br />�he prOviSion ol any olhef Slaie or local law regitlating conSiruClion of the pertorm3nce ol COnS:Nctiort That I am aut�onied hy lhe owner of IhiS property <br />lo peAorm tne work for which applicalion is matle and t compy with the State Conlraclors Law 182� RCW anE 2B6.2�0 WAC <br />� � <br />i '� <br />�- l> % �-,- � - �'- /� <br />OwnerlAuthodzetl Agent Signature �ate 64evised ?/2077) <br />