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d <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />for new conslruc�ion: Shorl <br />-0 � � <br />,mes <br />�*"A �c- N� <br />aUck 'Lraahefs N�rnes <br />NG PEftMIT APPLICATION <br />Use of Building <br />auoDbol� <br />No. 3 (attach copy o' iong Iegal descriplion) <br />,� u�s-ayo-avav �« 4u� <br />rvs�� I le Qq Z70 <br />IL&ILic.# �-�AaGk aZOld�iz. <br />g Z 10 <br />�� , <br />HI,j -� 9d-a � <br />PRICE OF WORK <br />�yo•ay29 <br />oel�✓hq�u <br />� lzO�� <br />HEAT SOURCE: <br />� tuni <br />Proposed Use of Building S F'� _ � Gas� Etec�dc Other <br />Building type: � Singie Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of proJect: ,� New ,_ Additlon _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolltion_Change of Uee <br />DesCfipqOn of W'"k (addifional spacepmvidetl on (ha back): <br />New SFR <br />you started working without a permit7 _YES ,�NO <br />MECHANICAL PERMIT APPLICATION <br />otProjoct:�Now_Addn _Alleration_Repair <br />PLUMBING PERMIT APPLICATION <br />of ProJecC <br />Show <br />_Addn _Altentlon_Repair <br />Other <br />NumberolHeads — <br />I hereby certily Ihat I havo mad and ezamined this application and know Ihe same to be Irua and correct. All provisions ol laws and ordinances goveming <br />this typa of work will bo complied wilh whelher specified herein or not. Tho granting ol a permit does nol presume to give aulhority lo violale or cancel <br />Ihe provision of any other sta�e or local la� egulaling construclion or Ihe pedormance ol conslmction, That I am aulhorized 6y Ihe owner of Ihis property <br />�nCTv�foun the wdNc lor which 3ppJi�lion is�atle and I comply wilh �he Slale Contractors Law 1827 RCW and 296.200 WAC <br />� � �" 2V �� <br />(Revised 12Q0f0) <br />