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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everetlwa.oIr1g I <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Z V���` <br />)DpI2ESSp: ` (� (� I PROPER7Y TAX p PERMIT q <br />T.Z97 /1DC�PYPIlE/ QG�C� <br />tor new wnstruction: ShoA PlaVsubdivislon _Lot No._ (altach copy ol iong Iegai descripllon) <br />�G�Cu.r�lr S{��C�C� <br />PERMIT APPLICATION <br />Use of Building <br />PRICE OF WORK �i S �O 00 <br />�sed Use of Building � -- — <br />ng type: _ Singie Family _ Duplez Townhause _ Multi•Family _ Commercial . <br />olproject: _New _Addilion _Remodel _Repair_T.I._Sign_Sprinkler_Demoiilion_Ch�nge ofUse <br />of Wofk (addifional spate provided on IAe back) : <br />you started working withoul a permit9 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />ofProJect: _.New_Adtln _Alteretion_Repalr <br />Show Number (M) of!lxfures <br />PLUMBING PERMIT APPLICATION <br />Pro)e�t: _,Now_Addn _Alteration_Repalr <br />Shnw Num6er !pl o/ flAYures <br />Other. <br />Other. <br />Gas <br />I hereby cerliry Ihal I hava read and eaamined this appliwlion and know Iha same to 60 lruo and wrrect. All provisions al laws and ordinances goveming <br />this type ol vrork will be wmplietl with whether specified herein or noL Tha gronting of a permil does nol presume to give authonly lo violato or wncel <br />Iha provision ol any ol�er state or local law regula:ing wnstruction or the pertormance ol construclion. That I am aulhorized by the owner ol this property <br />lo peAorm thn vrork lor which application Is made and I compN �'^�h Iho Stata Conlrocicrs Law 18.27 RCW and 298.200 WAC <br />�1 ( _�' -- y-� � � �Z <br />Owner/Authodzed Agent SlgnaWm Dato (Revised 7/20f1J <br />