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( <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8657 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ennvccc• . PROPER7YTAXM FjE�t1��T,� ,., <br />V k� <br />lor new conslruclion: Short <br />PERMIT APPLICATION <br />Existing Use ot Building <br />Lot No._ (allach <br />PhonelE-meill�ZS� <br />CItyISlelelZlP ��/�� <br />L & I Lic. # /9 <br />PhonefEmeil <br />PRICE OF <br />i �.�it�n— <br />of long legal description) <br />-� �t�Or% 7�� <br />(�d4 G �, <br />9�P2�3 <br />Cr.✓'2�j S ��C�r� <br />r� � � % °/�'7 �-%U��t c � <br />Proposed Use of Building � � ""' ' """""— " "` — <br />Building type: ✓ngle Family Dup�ex _Townhouse _ Multi-Famiiy _ Commercial � <br />Type of project: _ New _ Addition _ Remodei _ Repair _ T.I. _ Sign _Sprinkler _Demolilion_Change of Use <br />Description of Work (addifional space provided onlhe back): <br />/ <br />you started workfng without a permit7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />ofProJect: _Now_Addn _Alteration_Repalr <br />1 hereby ceAily thal I <br />lhis �y ork will <br />the rovisio of any � <br />�o eAo e work f <br />/�e �.� ��-t fi.0,-.� <br />�1^aS 2— c��r ��r� <br />PERMIT APPLICATION <br />o1ProJect: _New_Addn _Akeratlon_Rapelr <br />Show Num6rr (M) 01 flufures <br />Medical Gas <br />Olher. <br />end examined Ihis applicalion and knaw lhe same lo ba Irua and cortect. All provisions ot laws antl ordinances goveming <br />d wilh whelher specified herein or nol. The granting ol a permil does not presume lo give authority lo violale or cancei <br />or Iocai law regulaling conslruction or Ihe pertormance of conslr�clion. Thal I am authorized by ihe owner ot ihis proparry <br />�plicaticn i= made and I compiy with Ihe State Cantractors Law 18.27 RCW and 296.200 WAC <br />(RevisedY2011) I /� <br />1 <br />