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{ <br />PERMIT APPLICATION <br />BUILDING/�MECHANICAUPLUMBING/SIGNISPRINKLER/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 />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM m �•a o�_ n� <br />lornewconsWGion: Short <br />r <br />No._ (atlach mPY a� �D � d�v�+) <br />Phon�E-mail <br />L 8 I Lic. # <br />Q�� <br />Existing Use of Buiiding / <br />ProP�dUseofBuildirq "�T'1/�/r/ %�� /lY�i� <br />Buildingtype: _SingieFamily _Dupex_Townhouse _Mufti-Family <br />Type of project: _ New _ Addition � Remodel _ Repair _ T.I. _ <br />Description of Work (eddttiona� spacap/ov on ttre back): <br />_ials��/�afi�;�,� J�s'��„��.��- �/t<<�.r�,c,a <br />Ha�y� atartedvwrking without a parmit? � YES _NO <br />PmJect: _Naw_Addn <br />Number of Heads <br />�{� <br />�d/.� � � �:�a er <br />OF WORK <br />i y/// <br />. <br />/, c'D�n <br />Sign_Sprinkler_Demolition_Change ofUse <br />� !?/dCl'' G"!!1' C'O/JGt�LZ/Ol7//9�' �JXi� ! <br />v <br />PLUMBING PERMIT APPLICATION <br />ofProject: _New_Addn _AMaratbn_Wp�ir <br />Show Number (A) o/fi+rfuras <br />i Toilet <br />Medical Gas <br />Other. <br />I hereby certily Ihat I have read antl examined this appliration and knav the same ro be Lve a�W mnect. Ail provisions of laws and pdinances govmfinp <br />ihis rype of Mwk r+ll be canplied with whMher speqfied herein or rwL The grenling of a permit tices nnt pesume to give authdiry M violate or cancN <br />the provision ol any olher state ar Ioral law regulatirg construdion a the perlormance ol ce�sVuction. That I am eNtarined by the oM+ier M this pfopery <br />�t peApnn the Mork br whirh applicali s maAe and I comply vnth the Stale ContraUors Lav.� t P.2"/ RCW and 296200 WAC <br />J � <br />_�i>'��l�r"�i��� �������'i� � -:_�/ /�, <br />o arlAut�orizedAgentSignature Date (Revised7J2017) <br />