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PERMIT APPLICATION <br />BUILDINGIMECHANICAUPLUMBINGISIGNISPRINKLERIDEMOLITION/ <br />CITY OF EVERETT PERMIT SERVICES S�` <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.ev � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM !� � O� <br />)DRESS: � / PROPERTYTA%N PERMILN_ <br />� Q 4 !/�G� WA. 00 % W SOU / �/— <br />fa new constnxtion: Short PlaUsuDtlrvision i�i//�i Lol No._ (altach copy of long legal descnption) <br />'f'i►na COv�SVI }'a.� �'S <br />DING PERMIT APPLICATION <br />PRICE OF <br />l...o • <br />�l Kli qck y� '��S 97/7 <br />Ex�stingUseofBuilding Dr D�t4„ 6�rww 2o�N+S HEATSOURCE: <br />Proposed Use of Building,�/! � ��x4 ►� I'wr.+� 3 Gas Eiectnc.� O�her <br />Building type: _ Singie Family _ Duplex _Townhouse _ Multi•Family X Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repair,�C T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Descriplion o( Wofk (addifional space pmvitletl on the 6ack): <br />R`_io�a� �K.�..� s:.,k�, add sa.....,d�;�u.�J �vw�t�t.e��P'Jrwd. �1xh.r�s. <br />Have you sWrted working without a pertnit? _YES �NO <br />MECNANICAL PERMIT APPLICATION <br />ofPrcJect: _New_Addn _Altaration_Repair <br />Number o( Heads <br />PERMIT <br />of ProJect: _New_Addn <br />Medical Gas <br />Other. <br />_Repelr <br />I hereby certiy that I �ave read and examined thls appliwtion antl knva the same to be We and correct All provisions of laws and orGinances goveming <br />Ihis rype of work vnll be wmplied vnth whether specified herein or nol. The granting of a permit tices nat presume to qive autMnry to violate or wncel <br />the p�ovision of any ather state or local law regulaling consWction or lhe performaixe of conslruction. That I aT authorized by lhe owner of Uis property <br />to pedartn lhe work for which appliwlion is made and I wmply with the State CanUacrors Law 1827 RCW and 2°6 200 WAC <br />� K-/�1^c� S � � � / <br />OwnedAuthorized Agent Signature Date (Revisetl 7/20f f) <br />