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� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAUPLU6IBINGISIGNISPRINKLERIDEMOLIYION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAh 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />iornewconstruction: S�ort <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />PRICE <br />(anac� wpy ol long leqal aescriv�lon) <br />Proposed Use of Building V���� ��vnw.+ � w•r.�m� i — <br />Building rype: � Single Family _ Duplex _Townhouse _ Mulli-Family _ Commerciai' �� i ` <br />� <br />Type of project: _ New�Additioi� _ Remodel _ Repair_T.I. Sign _Sprinkler_Demolition_Change of Use <br />DeSaipti0n of Work (atldilional space pmvitletl on fhe Dack): ��� ���1rvp � <br />�cp�1��? �c1s`Tl���l-�I 1N6� d��G� 6PP��urf�j� <br />�l� '�S <br />H�ve you startsd working without a pertnit7 _YES� f10 <br />APPLICATION <br />ProJ�cl: _New_Adtln _Att�ntlon_R�p�lr <br />heater <br />PLUMBING PERMIT APPLICATION <br />o1ProJ�ct: _!Nw_AAdn _AMxadon_Rep�lr <br />Medical Gas <br />Other: <br />I hereby certiy Ihal I have reatl and examinetl t�is applic. tion anC know t�e same to Oe We antl conecL All provisions ol laws antl ordinances goveming <br />thls lype ol work will be complied w+th whether speciGeC herein or noL T�e granling ol a permit dces not presume to grve auMonry lo violate or rancel <br />the provision of any other state or local law reBulating consiructian or the pertnrmance ol consiructioa Thal I am authonzed �y Ihe owner ol t�is propeity <br />lo rtOrm the o 'C� lication i5 matle anC I wmpry wil the Stale COnIreCI0r5 Law 18.27 RCW an0 296200 WAC <br />�I <br />od edA9e^t Date (Revisetl2/207f) <br />�/a <br />