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PERMIT APPLICATION <br />BUILDINGIMECHANICAUPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-881 G— FAX 425-257-8857 — wv�nv.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM U�>"1I <br />ADDRESS: PROPERTY TA% N PERMIT i <br />�iav ,�,rr,,..l i�ro n.,�/�--��,-,��„Zm�-, C�ICx-l-abl <br />(or new conslruclion: ShoA PlaVsu6divislon Lo� No._ (attach wpy of long legel description) <br />t{�r�.�� �r C��n�a•-� Phone/E-mail �iri.S�J�IY'—Ib�Z f�eafhpr. o�'e �� <br />,�''d <br />; <br />{ �'7(C�r1Ci i�1VC ��f���{ <br />i� C2 !L[^_� �J�!U ��0 r� <br />�� b�l /�,� �;t P1G/i.�s r t <br />IESS NAME <br />PERMIT APPLICATION <br />s I Lic. # 4�F1 <br />4a5 -3 9 �- 73 �o <br />�o c.�. ra.c <br />PRICE OF WORK <br />Existing Use of 8uilding S F� (� HEAT SOURCE: <br />Proposed Use of /Building 5 F� Gas Eleclnc Other <br />Building type: jL Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: _ New _ Addition �Remodel _ Repair _ T.I. _ Sign _Sprinkler_Demol;;ion_Change of Use <br />Description of Work (edddiona� space provided on �he back� : � , <br />PLc,m�a�kJ �'c�.,�ova.�cv��c �nslz�ll ncw�L���r,bi,�� �e(�la,ce �-xiS{�nJ <br />Have you started working,wl ho a pertnit7 _YES �NO <br />PERMIT APPLICATION <br />of ProJecl: _New_Addn _Altaretlon _Repalr <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />of Projact: _Now _Addn _Attaratlon _Rap�lr <br />Show NumberlNl o/flxtures <br />Medical Gas <br />Other. ��i �c <br />I hereby certify lhal I have reatl antl examined this application and know �he same to be Iruo and correc�. All provislons o( laws and ordinences goveming <br />lhis type ol work will be coinplied wilh whelher specified herein or nol. The granling ol o permit does not presume ta give aulhority to violele or cancei <br />the provisio 1 any olh r stale local law regulating construclion or Ihe periormance oi cons�ruclion. Thal I am authonzed by ��e owner of ihis property <br />lo e t�� 1 k, or�ii �1 �cation is mad���n�y�vith Ihe State Contractors Law 7827 RCW and 296200 WAC <br />V <br />I�� <br />(Revisetl7l20f7) <br />