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� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: PROPERTY TN( N P MIT R <br />193D uo�x x�,�,"Eo &,�v ooy i�i a00040o I - <br />fo� new construction: ShoA <br />Rr,.a <br />Co <br />PERMIT APPLICATION <br />r <br />�t No._ (attaeh copy of lo� lepel <br />nail ['D'ji P G F wF_ �CN_ " Y� <br />Z1v M v k i VT'Eo 1�/ A ` <br />u C�r1'AW LG Ibi <br />one/Email CO jrK <br />PERMIT C�2 � J <br />6—Z:�-737y <br />PRICE OF <br />t Nn1E <br />CoP-AGE �rE2� <br />xisting Use ot Building "�"' �""'•"`. <br />roposed Use of Building Gas / Eiedr�c � Other_ <br />uildingtype: �C SingleFamily _Dupiex_Townhouse _Multi-Family _Commercial <br />ype o( project: 'J_� New _Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change ot Use <br />�escriplion ot Work (additional space provided on the back): � <br />N6W S�^'�t[ /�AMr� �'ansnLuc/7o'✓ <br />you atarted working wlthout a permit7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />of Projeot: _New _Addn _Altentlon _Rapalr <br />Show Number (M) o/ flxfurea <br />I A/C — air handlina unils <br />/ <br />of Heads <br />PLUMBIN6 PERMIT APPLICATION <br />ofProJecl: _New_Adtln _Albntion_Rep�lr <br />Medical Gas <br />Other. <br />Other. <br />t hereby �ertiry thal I havo read and ezamined this applicalion end know Ihe same lo be true and corted. All provisions o( laws and ordinan�s yoveming <br />Ihis typo of work will be complied with whether specified herein or not. The granting of e permit dces nol presume to give eulhoriry lo violate or wncel <br />I�ie provision of eny olher state or Iocal law reguialing consiruction or Ihe peAarmance ot constn�dlon. Thal I am authorized 6y the ovmer ol thls properry <br />to pertorm t e ork forwhich applicatlon is made and I camply�h 1�� tate Contractors Lew 18.27 RCW and 298.200 WAC l <br />��� . � / <br />Own6flAulhorized Agent Slgnature Date (��� �01% � <br />