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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 96201 - 425-257-8810 — FAX 425-257-8857 — wuvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �p �O a�-I� <br />lor new consliuclion: Short PlaUsubCivision Lot <br />Zi20 <br />LDING PERMIT APPLICATION <br />Use of Buiiding <br />,_jj�7�L��� 15 ..-iiS�(.� <br />PRICE OF <br />���D' <br />Cescription) <br />�sed Use of Building L �as_ t�ecmc! - otner_ <br />ng type: _ uingle Family _ Duplex _Townhouse _ Multi-Family _ Commerciai <br />of project: _ New _ Addilion _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />ription of WOrk (adtlifbnalspace provided on fbe back) : <br />you slarted working without a permit7 _YES <br />PERMIT <br />o(ProJeet: _New_Addn _Alteration_Repair <br />Show Number (N) o! flztures <br />GIC _ air handlinn uni�s <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />oiProJect: _New_Addn _Alteration_Repair <br />Show Number (N) o/ flxtures <br />Medicai Gas <br />Olher: <br />I hereby certity t�at I navc read and examined Ihis appliw(ion and krww I�e same lo be true and tonec4 All provisions ol laws and ordinanoes gaveming <br />Ihis type ot work will be complietl with whether specified herein or not. The gren�ing of a pertnit does nol presume to give authonty to vic�ate or cancel <br />ihe provision of any other stale or laal law regulaling consWction or t�e peAormance of conswction. That I am aulhoraed by the owner ol lhis proporty <br />to peAorm � rk far r.hich(�p�y�1i'cal�n Jis made and I comply vnth Ihe Stale Conl2ctars Law 18.27 RCW and 296200 WAC <br />� V �/`U <br />OwnerlA hor4ed Agent Signature Date (Revised 2Q017) <br />� �� <br />