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� <br />( <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRIN KLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />newwnstruction: Short <br />PERMIT APPLICATION <br />Lot No._ (atlac� copy ot bng lepal deunption) <br />;/E•mail .�Zti - 39 �-41�A Z <br />date/Zip <br />Lit. N <br />PhonelEmail eF�fj•.F.j}'j—�j � <br />TACT FOR PERMIT <br />e/E�mail (.'a�lAY1C� S�ARkC 425-9'.a8 <br />TRACTPRICEOFWORK �:ZZ.a22+Y> <br />istingUseotBuilding Kf�^r�1�ia� ��'ti <br />oposed Use of Building ,T�P Gas_ Eiectnc_ Omer <br />iiiding typa: � Singie Famiiy _ Duplez _Townhouse _ Multi-Family _ Commercial <br />TC <br />pe of projed: _ New _ Addition Remodei _ Repair _ T.I. _. Sign _Sprinkler _Demolkion_Changa af Use <br />fSUiplio�OfWoAc(addifionelspaceprovidedonfhe�ckJalumi,��m ,��h� y��ydu�-• <br />;eRa�F f�m tx��l � �►O � � <br />c�u ove�:, ��o teav dff neeAfd• <br />�ve you atarted working without a permit4 _YES �NO <br />PERMIT <br />_Naw_Addn _Altaratlon_RepHr <br />healer <br />PLUMBING <br />ol ProJxt: _Naw _Atldn _AlteraUon _R�pair <br />Other: <br />1 hereby certily that I have reatl antl examined this apPli�ation and knax lhe same lo be irue and wrtecl. All provisions ot Wws and ortlinances goveminp <br />this rype al work will be complietl with whether specifetl herein or not. The granting ol a permit dces aol presume to give auMoriry to violate or cancel <br />the provision of any olher state or local law regulaling construclion or l�e peAormance ot cansWclion. Thal I am aulhorizeE by t�e ovmer ol ihis p�operty <br />to peAorm ihe Hork lor which applicalion is made anC I compty with the Stale Conlractors Law 1B.27 RCW and 298.200 WAC <br />�i�Of"tifi�l�� ta��SD�ZUII <br />O� r�e'r1A o zetlAgenl5lgn�wre ate (Revised?/POfil <br />1 <br />11� <br />