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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEl:"ULITION <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 C� •.aD �(L <br />Lb C�S IM (9-v � �.e V��l.J <br />LEGAL lor new construction: ShoA PIa1/subdivision 17'� <br />OWNER ��: �� i 4 <br />Address �. Q. QjpX 8�{� �J` <br />CONTRACTOR OI.Jv�ev' <br />Address �. (� . �Ok C��?� �J� <br />iENANT BUSINESS NAME • <br />BUILDING PERMIT APPLICATION <br />E>. _ ng Use of Building <br />&ILic.# <br />I b� 3e � <br />(attech wpy of long iegal descriptlon) <br />zS 353 •i <br />PRICE OF WORK � SO "�'_ <br />HEAT SOURCE: <br />�sed Use of Building Qo�,' � f � I Gas_ Eleclric <br />ng lype: _ Single Family � Duplex _Townhouse _ Multi•F/amily _ Commercial <br />of proJect: _ New _ Additfon _ Remodel _ Repalr,JL T.I. _ Sign _Sprinkler _C <br />'ipt\ionofWork(addifionalspeceprovi1ded�onlhebackJ: Ren4,,v �/�O'4���''^ `•`�` <br />�+.r �ttv WqFQv �AQ4i"F.v Y f� � .. <br />� � / fT h��) � � ��v1'2mi1 M-n7cNY � <br />�'�f�iC�%�.vur.-�'.512�/nU-fr✓lP� y<� / � <br />you started working without a pertnit9 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />of Projecl: _New_Addn _Alteration _Repalr <br />_Change of Uee <br />�se # ro - itqo <br />PLUMBING PERMIT /�PPLlCATION <br />otProjacl: _New_.Oddn _Altentlon_Repalr <br />Show Num��•rlMl o/ lixtureJ <br />Other <br />Wrn <br />I here6y certity that I have read and ezamined Ihis applicallon and know lhe same to be Iruo and correct. All provisions of laws and ordinances gaveming <br />Ihis type of work will be complied with whelher specified herein or not. Tho granling ot a permil does nol presuma to give authority lo violete or wncel <br />Ihe provision of any other slale or local law regulatinp construclion or ihe peAormance of construcllon. That 1 am authorized by Ihe owner of lhls property <br />lo peAortn lhe work for which application is made and I complY with ihe Slale Conlractors Law 18.27 RCW antl 296.200 WAC 1 <br />/��%���TCr-�G�� � � � �� / Z <br />OwnerlAuthorizod Agent Signatw� Da�e (Revised 7?/20f0) <br />