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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBIlVG/SIGN/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 <br />for new construction: ShoA <br />1+� <br />+!, <br />BUILDING PERMIT APPLICATION <br />Use of 8uilding <br />S-- O <br />; <br />(attach copy of long tegal <br />FhonelE-mail'1�'3q1-7360 c1 <br />.. _.� <br />a i ���. a Ha�cK 13 � o► <br />�Phone/Emall "'� (J- � 7 V • � y � �1 <br />ORPERMI uel@hyacfc <br />1-�qqC � <br />'-1Z5-2��o�Z42 % _ <br />PRICEOF WORK � � !� <br />HEAT SOURCE: <br />�Orvl <br />tU�M <br />Proposed Use of Building %1 C W 5F `i� � Gas� eiectric_ other_ <br />Building type: � Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of proJect: �New _ Addition _ Remodel _ Repair_ T.I. _ Slgn _Sprinkler _Demolitlon_Change o( Use <br />Description o( Work (addifional space provided on tho bock): y, D� <br />�1EW sF�R �/�-s'IC. '� �i <br />Have you sWAed working without a permit7 _YES !`� NO <br />MECNANI�4L PERMIT APPLICATION <br />o(Pro�ect:�Now,_Addn _Altoreqon_,Repalr <br />Show NumGer (M) ol lixfures <br />�- A/f: - air handlina unils <br />fan <br />/SU <br />ol ProJect: <br />Show <br />APPLICATION <br />_Addn _Allaration_Repair <br />O:her <br />Number ol Heods I I I __ <br />I hereby certify Ihat I have read and examined this applicatlon and know lhe same ta be irue and corter,l. All provisions of laws end ordinances goveming <br />this lypo of wo�k will bo complied �vi�h whelher specified herein or not. Tho 9ranling ol a permil does nol presumo to givo aulhority lo violate or cancel <br />the provision ol any olher state or loc I la�v regulaling construction or Ihe pedormance ol consiruction, That I am authorized by lhe owner of Ihis pmperty <br />�nmerforn� Ihe v.�k for whic��lical�n is made and I comply with Ihe Stala Contmcturs Law 18.27 RCW and 296.200 WAC <br />" 2�'2C� �� <br />(Ravised 1220f0) <br />��Z <br />