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PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FPX 425-257-6857 — ww�v.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM "��� , r �, .. ��1 �� <br />lU I <br />furnewwnsWUion: Short <br />(atlach copy ol long legal descriplion) <br />t-/ <br />Plwna�Email <br />iEflANT BUSINESS NAME -1CONTACT FOF PERMIT y�tS j fU-/,z?p � <br />1 � <br />�v/,a PhonGE-mad (%+�/S-li{i/4, iPc%.�' n/r.�sansav.a(n�l� lf,n�r <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORI( <br />Existing Use of Building N�Y� HEAT SUURCE: <br />ProposedUseof�uildmg lufi:P%L(I � Gas Eiennc� omer ✓ /�/%� <br />Buildirgrype. �SingleFamily _Duplex Townhouse _Multi-Family _Commercial .- pf!',i-r� ��-✓�'+�� <br />TypaofproJect: �New _Additlon _Remodel _Repair_T.I._Sign_5prinkler_Demolltion_Change ofUse <br />Descnption o� Work (additional spacepmvided on Ihe buck) � <br />� <br />l�lGCilil� il�i�tc.�L crii L��Sfc.�� �;:f �-�SU.��ii ..v,(.c� �ia;U.L-- <br />✓ <br />Have you eGttod worlJng without a permit7 !� YES _NO <br />MECMANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIQ�I <br />TypaofP�oject: _New_Addn _Alteratlan_Ropair iypoofPro�act: _Naw_Addn _All�ratlon_Repair <br />ShowNum6cr(NJo!/ixfums ShowNumWr(1/ofllrtures _ <br />A/C-airhandl:nounits _ Toilel _ <br />I�i � r �Ri61T.7 <br />OthCf <br />Number ul HeaJs <br />I hereby certity thal I havo reed end ezeminoA i`is nppliwlion and know tbo same lo be We anA wrrect. All pmvisions ol laws and ordinances guveming <br />t�is lype ol work will be complled with w�eUier speu0ed hereln nr noL The flranting of a permM dces nol presume �o pive euihm�ty lo violale or canr.el <br />Ihe provision of any olher statu or locel law regulating waslruction or tho pedormence ol construction, That I am authorixed hy the onnw of thia oroparty <br />lo peAorm ihe work twwhict� appliwtlon I5 ma0e anU I comply wllh Ihe State Conirar.tors Law 78.27 HClV arW 296.200 WAC <br />�I'lu � �_�;: ,� _ ,, <br />OwnerlAuthodzed Agent SlgnaW re ale (ReviseU 72/10f0) <br />