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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLIT!�JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />fornewconsWction: Shoh <br />L&ILic.# <br />LDING PERMIT APP'.iCAT10N <br />Exisling Use of Building <br />No._ (atlachcopyollonp :go� <br />PRICE OF WORK <br />Proposed Use of Building_ I <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />�1 <br />-� <br />of project: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />ription o( Work (addif`io�nal spaco provided on Ihe banck): <br />/./'�l%�Q l^0�/ � ��� <br />� you slarted working without a permit7 _YES _NO <br />MECHANICAL PERMIT APPLICi.TION PLUMBING PERMIT APPLICATiON <br />ofProJoct: _Now_Addn _Altaration_Ropalr TypeoiProJect: _New_Addn _Alteralion_Repalr <br />Show Number (p) ollixfures Show Numbar (M) o/Rxtures <br />RESSION SYSTEM <br />Number <br />Medical Gas <br />Other: <br />Other: <br />I here6y ceilily �hat I havo read and examined �hls applicalion and know the same to be Irue and correct. All provisions of Iaws and ordinances goveming <br />this type of work will be complied wi�h whelher specifed herein or nol. The granling ol a permil does not presume �o give aulhodty lo violale or cancel <br />Ihe provision ot any other state or lucal law regulating constmclion or Ihe perormance ol consWClion. That I am aulhorized by �he ovmer of Ihis propehy <br />�o pertorm Ihe work br which applicalio�is`lnade and I comply with the Slaie Contracbrs Law 1827 RCW and 296200 WAC <br />i <br />i /� <br />� '.1L' �6' ') .�� t.��. �7 <br />/ O norlAuthorizod Agont Slgnaturo Da o (ReviseC?l2017) <br />� <br />