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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everPttwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />fornewconsWction� Shod <br />ai <br />�o,i� o-F Ev�� <br />LDING PERMIT APPLICATION <br />�H <br />S/8�/Ol-�oa 1 �i <br />1 No._ (attach copy o! long legal description) <br />Lic. # ST12 <br />11/ <br />sg �oao��r,i� <br />i..�j' <br />�C izioZ � <br />�o-3Bo-i.23�F . <br />PRICE OF WORK <br />ig Use o( 8uilding � HEAT SOU'" ,E: <br />sed Use o( Buildina /t/iQ- r,llie�l Gas EleciAc_ oiher_ <br />ng type: _ Single Family _ Duplex _Townhouse _ Mulli-Famiiy �Commercial <br />o( project: _ New _ Addition _ Remodel _ Repair _ T.I. ,_ Sign _Sprinkler,�Demolition_Change ot Use <br />�iption of Work �atltlifional space pmvided on the back): <br />��G�s�' <br />Have you started working without a pertnitT _YES ,�yNO <br />MECHANICAL PERMIT <br />olProjeet: ,_Now_Addn _,Alterallon_Repalr <br />Sbow Number (N) o/ flxfures <br />A/(: — air handlina uni�s <br />/ <br />PERMIT <br />ProJect: _New_Addn _Altentlon_Rapair <br />Medical Gas <br />Other: <br />I Number of Heads � """'' <br />I hereby certify that I have read and ezamined ihis application and know Ihe same to be true and cortect. All provisions of lews end ordinances goveming <br />Ihis type ot work will be complied with whelher specified herein or not. 7he granting ol a permit does not presume to giva auNonty lo violale or cancel <br />the provision af any other state or local law regulating consiruclion or Ihe perlormance of consiruction. Thal I am aulhorized by Ihe owner ol ihls property <br />lo peAorm Ihe work lor which applicalian is made and I comply wilh Ihe Slale Conireclors Law 18.27 RCW and 298.200 WAC <br />��:�2 • Cs� � a✓2g��/ ,Ra�,S��o,,, <br />OwnerlAuthorized ABent Signature Date <br />.�� <br />