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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES g�-�3 —13 <br />3200 Cedar St., Everett, WA 98201 - 425-257-8610 - FAX 425-257-8857 - vn�nv.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />lorne�vwnstnxtion: Short <br />� <br />BUILDING PERMIT APPLICATION <br />Exisling Use ot 6ullding <br />Proposed Use ot Bultdir <br />No._ (attach wpy of long legal deSaiF°on) <br />Pnone/E•mail '-(Zh�i:4U� <br />. ILSILIG.n <br />�-�A `ISlJ: <br />�Yta1ET7-, LI,�k ��� <br />T � <br />L�.� . C L . <br />' PhoneTcm::] ���j �%5���`�r <br />DRPERMIT ����� /%CCIFF <br />/L <br />Yzs- ��5 G.v/ y <br />PRICE OF WORK,� ��j(�r 37iOV <br />I HEAT SOURCE: <br />Bui!dingtyp=: �,SingleFamiry _Duplex_Townhouse _Multi•F2mily _Commercial <br />T��p<_oipro;ect. _New _Addition _Remodel Repair_T.I._Sign_Sprinkler_Demolitlon_Change o'Use <br />De=_criplionoiWor'r.(edditionalspaceprovfdedon!hebacW: ��"����,� �=,r�in,�;q_ �',.�y �y{�/�JdCE (,C1iTf� <br />7 <br />N�ct C..fis rIC;N�cC �l,v 5A7ri�- LGcA'rt�:�; Np N�ov �AS %�If3,Vc� . <br />Haveyeu:tzrtedworklnc�withoutapermit7 _,YES �NO <br />PdECHANICAL PERMIT APPLICATION <br />Typcof F%cct: _Nmv_Addn �Altcrailon_Rcpalr <br />�97:i <br />PWIt7811JG PERMIT APPLICATION <br />TypeolProJecl: _Mcw_Addn _Alterailon_Repair <br />PAedical Gas <br />Other. <br />I NumberofHezds II I utner. <br />i �:c�:e5; ce:Cy Gha; I have rexd end exz:rined lhis eppii��on and kne•v the same to be We 2nd cortctt All provisions ot laws and ordinances poverning <br />,'c ty�: of wcrk v.iil 6e complied vrith wfiether:ped`e. herein or not The 8���'ng ot e pertnit dces not presume to B��e authority to violate or cancel <br />;��,_ Fro�t='.on of :,rry oVer state or local kw regulating consWclion w Ne �rtormance otcorsWction. That I�n euthorized 6y the amer of Nis property <br />t� F=rtyrq the e.orY, for whic�hEp7 plicaLon ade snd i com v�ith SYjte ConVactors Low 18.27 RCW end 296.200 WAC <br />�/� L j' G� Y`�Si� PIY (y�/ 7 <br />O:mcdA�cdl.gent5ianat e O Da:e (Revlsed?2011J <br />