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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGh/SPRINKLERIDEMOLITION <br />CITY OF EVERETT 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 �— d i— I�— <br />ennRFSS� .. n / � PROPERTYTAXN g�R� �/,nn-i <br />for new conslructian: Short <br />Y( .aa/D ( o%�»bn <br />(a�tach copy of long legal description) <br />�'o - 3 / � - <br />� /J T /�/ �� 2 (�� J(j��/ ICity/51aielLip <br />_Owner _OwnefsAgent ,_CoNractor CoNractor'sAgent _Tenantlm���v��aeoior.eroiconsemvommeo.��erioao.onmmaswcal <br />� C-1— <br />'✓�� <br />LDING PERMIT APPLICATION <br />Existing Use of Building ( 9-/f, <br />Praposed Use of Building <br />J� <br />type: ,�, Single Family _ Duplex <br />o.�:� IL 8 I Lic. # <br />PRICE OF WORK <br />Mul�i-Family _ Commercial <br />_ ��- .� � _ <br />Lic. # <br />of Use <br />IOFWORK�adtldionalspacoprovidedonthoback).: '� ���� <br />��-'r %;i� G-�7 �c�, ���y ���'�-s� GC��'�''�',� ���1 � G� <br />MECHANICAL PERMIT APPLICATION <br />ofPmJacL• ,_Now_Addn _Altoration_Ropair <br />Show NumbcrlU) ollJxfures _ <br />SP <br />Number of <br />PLUMBING PERMIT APPLICATION <br />of ProJoct: _New_Addn _Altarotion_Ropair <br />Othec <br />Gas <br />I hereby cendy �hat I I�nvo reaC nnd eMemined this appllca�ion and knaw tne same to �e tme and conect. All provisions ol laws antl oN�nances goveming this type ol work vn�l ba mmplletl <br />with whetner spec�ed herein or not. The gmntin9 of e pefmit does not presumo to giva eutnority to violate or cAncel ihe pmvision ol any olner slata or loWl law regulating construction <br />7�nt I am eut�or¢eC by Ihe rnmer ot thie property lo Dedorm I�a wod lor w�ich eppliwtion Is ma0e and I camply wnh the Slate Contracton Low iP 27 ftCW anE 2W 200A WAC. <br />`�' �, �, (v�,1 %//� , <br />, ,, �,;� <br />",j,; ,ir/l� ; <br />0�4ndr/QLl iorizad A9ont Slgnaturo Dale (Revised 62012) <br />