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PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �`���/� <br />for new consiruction: Short <br />&ILic.# <br />�� <br />BUILDING PERMIT APPLICATION <br />Use of Bui�ding <br />d Use of Buildir <br />No._ (attech copy of long Iegal descriptior) <br />PRICE OF WORK <br />HEAT SOURCE: <br />ng rype: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />of project: _ New _Addltion _ Remodel _ Repalr _ T.I. _ Slgn _Sprinkter_Demolltion_Change ot Use <br />iptlon of Work (edditional spaca pmvided on fhe beck): <br />Have you started working without a permit7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />o1ProJoct: _Now_Addn _Alteratlon,�Repalr <br />Show Num6er (N) ol /Ixturee <br />A/C — air handlinn unils <br />PLUMBING PERMIT <br />01 ProJoct: _New _Addn _Altentlon _Repalr <br />Show Numbar fM) o/ Ilxtures <br />O�her <br />I hereby certify (hat I have read and examined Ihis appliwtion and know Ihe same to be Irue and wrrccl. All provisions ol laws and ordinances goveming <br />this lype of work will be complied with whMher specifmd he:ein or noL The granting of a permit does not presume to give aulhonty to violate ar cancel <br />ihe pwvision o( any oUier state or local law regula6ng construction o� Ihe peAormance of construction. That I am aulhodzed hy Ihe owner af ihis properly <br />lo peAonn the �wrk (or which application is made and I comply with the Stale Conlreclors Law 1827 RCW and 296.200 WAC <br />< � � /� � <br />O�orlAuthmiz t Slgnaturo Date (Ravised 1?/10f0; <br />