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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGlSIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />pppLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADQRESS� _ . Lr r i/�� .. �� PROPER7YTAXp P%l�M�TrDQ -�.: `� <br />lor new consiruclion: Short <br />n� <br />LDING PERMIT APPLICATION <br />Exisling Use of Building <br />(altach copy of long Iegal description) <br />PhonelE�mail �jF(Y,�• '(� <br />CitylSlalelZip <br />L&ILic.# <br />� Phone/Email � <br />CONTACT FOR PERMIT <br />�PhonclE-mail <br />CONTRACT PRICE OF WORK <br />aroposed Use of Building <br />Building type: _ Single Family _ Duplex _Townhouse ,_ Multi-Family _ Commercial <br />Type of project: _ New ,_ Addition _ Remode� _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Descriplion of Wo�k (odddional spaco provided on fhe bock) : <br />Nave you started working withaut a permit7 _YES _NO <br />MECHANICAL PERMiT APPLICATION PLUMBING PERMIT APPIICATION <br />Type of Projoct: _New_Addn _Altoratlon _Hopalr <br />ON <br />otProject: _Naw_A��n _Alteratlon_Ropalr <br />Medical Gas <br />Othec <br />� Nuinber of Heads ' <br />I hereby cetlify �hat I have read antl examined this opplicaLon and know the same lo be true and correc�. All provisions ol laws and ordinances governing <br />Ihis lype ol work e!ill be complied wilh whe�her speci(ed hcrein or noL The granling ol a pei�oit does nol presume �o give authonty 10 violate or cancel <br />the pmvision ol any other state or bcal la�v reyulatine� corsWction or Uie peAormance ol consl�uction. 71;at I am authonzed 6y the owner ol lhis propeny <br />lu pedorm he work lor whicl applicalion is made and I comply with the Slale Contractars Law 78,27 RCW and 29�200 WAC <br />� � ,-•- =�� Yl�9�C� S yS`C( <br />p � (Revised2/2077) <br />Owncrl uthorized Agc it Signature <br />