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� �- <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �I `� V�" �� <br />PROPER�y T�7c p /, RMIT �I �,,..(� <br />ADORESS:II�/i�,/%/Ii_.� _ %2 a �v7/t^�.�7/��/l/J%�Y �l.11l�'t'�—t�.0 <br />for new canslruclion: Shorl <br />No._ (attach wpy o1 iorg legal descAD��on) <br />BUILDING PERMIT APPLICATION CON7RACT PRICE oF WORK <br />Existing Use of Building C" �. � � HEAT SOURCE: <br />Proposed Use o( Building S R Gas Electric Ulher <br />Building type: _ Single Family �Duplex _Townhouse _ Muili-Famiiy _ Commercial <br />Type of projed: _ New _ Addition _ Remodel� Repair _ T/.I. _ Sign _Sprinkl)er _Demolitian_Chenge of Use <br />DescriptionolWork(addifionalspaceprovidedonfheback): /1..�� /L�����f/Y/i �GW ��y'f ��/�YIw <br />A � ��T(C �- v.� cnC/ ""/ <br />% �/�/�� <br />you sUrted warking without a pertnit7 <br />MECHANICAL <br />olProjecl: _New_Addn _Altanlion_Rapair <br />_NO <br />PLUMBING <br />o} Project: _Naw _Addn _Altention _Rapdr <br />Show NumberlN) o/Oxtulsa <br />Medical Gas <br />Other: <br />� I NumberofHeads I I � "1101• <br />I hcreby ceAiry Ihat I have read and examined Ihis applicalion and know the same lo be Uue and cortect. All provisions ol lews end ardinences goveminp <br />this lype ol work will be complied wilh whelher specified herein or not. The granling ol a permil dces not presume lo give authority lo viola�e or cancel <br />the provision r local lew regulating conslruclion ar Ihe peAormance of constNction. Thal I am aut�orized by Iha awner o1 tNs property <br />orm for whlch applic ' n is made and I comply wilh Ihe Stale Conlractors Lew 18.27 RCW and 296200 WAC 1�� <br />/ � ��� // <br />OwnerlAuthoNzed Agant Sign�ture Date (Revised 7ld071) <br />