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PERMIT APPLICATION <br />BUILDINGIMECHANICAUPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �.�� `/� <br />lor new conslruction: Short PlaVsubdivision_ <br />t [nJFZ,jf �/!' -, <br />�OSO %JALE W• <br />ACTOR �F/�W✓k'�!S �L✓�"G'1^ <br />3 I oo Cy. Ec�nc�f sT. 5�"n <br />� BUSINESS NAME <br />DING PERMIT APPLICATION <br />Use oi Building �' /VTA 1 <br />8 I Lic. # <br />� 1-'��l�l- <br />_(altach copy o( long legel description) <br />�l.'C' /JJ''�ilf'!� <br />S�� W A 9D'/19 <br />fi.£n�-/,�--�-5 �;c.,� <br />PhonelEmall .ZVd' ,�c � � ' �2 ��,� � <br />DR PERMIT <br />PRICE OF WORK ,f ' J <br />HEAT SOURCE: <br />�sed Use of Building L�- p1CO°"— ""''"— <br />ngtype: _SingleFamily _Duplex_Townhouse _Multi-Family _Commercial <br />of proJect: _ New _ Addllion _ Remodel _ Repair _ T.I. _ Sign _Sprinkler_Demolitlon_Chango of Uae <br />�iption o( Work (addifional space prov�ded on Ihe back�: �NS.S�%�(.2U6, j�,u+� w�e (��. d�� L�� � <br />you atarted working without a permft9 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />of Pro�aet� _Now_Addn _Altoratlon_Ropalr <br />Show NumberlMl ol Ilxturcs <br />Num6er al <br />PLUMBING PERMIT <br />o(Project: _New_Addn _Altoratlon_Rep�lr <br />Show Number !Ml o/ /Ixfures <br />Olher <br />I I�ere6y cerlily Ihal I have read and ezamined this application and know tha same to be true and cortect. All pmvisions ot laws anA oMinances goveming <br />�his type ol work will be complird wilh whelher specified herein or nol. Tha granting ol a permit does not presuma lo give aulhonry to violate or wncel <br />ihe pmvision ol any other slale or local law mgulating constmction or the pedormance of consiruction, That I am authorized by Iho owner ol G�is propehy <br />Io perform the work br which application is made and I compty wilh Ihe Stalo Contractors Law 1827 RCW and 296.200 WAC <br />` �.�?n% ��C � . <br />� •.=ur r <br />OwnorlAuthodzed Agont Signaturo Dale (Rensed 77/10f0) <br />