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PERMIT APPLICATIUN <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.evereriwa.org <br />ApPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br />lor new conslruction: Short <br />�T <br />i <br />� Q S� 6 3� Lot No. � <br />V PhonelE-mail�Z�' <br />CirylSlatelZip <br />�PS L & I Lia # ��C� <br />m(,�r S� � 1 q�2 �o Phon[ <br />CONTACT FOR PF� <br />c��� ��lC <br />(attach capy oflonglegaldescription) <br />BUILDING PERMIT APPLICATION ICONTRACT PRICE OF WORK <br />f�L <br />CL <br />Existing Use of Building I HEAT SOURCE: <br />Proposed Use of Building N�'w S� Gas Electric_ Oiher_ <br />Building type: � Single Family _ Duplex _Townhouse _ Multi•Famiiy _ Commercial <br />Type of proJect: � New � Addillon ,_, Remodel _ Repair _ T.I. _ Sign _Sprinkter _Demolitton_Change of Use <br />Description ot Work (eddifional spaco provided on fha back): � <br />►�cw sFtz. a�ts�c � b�O <br />Have you sWrted working wilhout a permil7 _YES �NO <br />MECNANICAL PERMIT APPLICATION <br />ofProjocC _ Now_Addn _AllaraUon_Repair <br />;:h��wNumber/Nlo//fxtures _ <br />Number ol <br />PERMIT APPLICATION <br />ol ProJect: _New _Addn _Alteration _Repelr <br />Show NumberlN) o117xtures <br />Other <br />I herehy cehify thal I have read and examined this applicatlon and know the same lo be true and cortecl. All provisions of laws and ordinances goveming <br />thfs lype ol work will be cmnplied �Wlh whelher specifed herein or not. Tho granting of a permil does nol presume to give authonry to violate or cancel <br />Ihe provision of a y other stato or local la regulatin9 construction or Ihe pertormance of construction. Thal I am aulhorized by tho ovmer of ihis propehy <br />(p ie w f r� hich p on i ade antl I comply with the S�ate Conlradors Law 18.27 RCVJ antl 296.200 WAG <br />�.1��\ 1�2�-z��� <br />(Revisetl 17R0f0) <br />�' ✓ <br />