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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/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 8 AM TO 4 PM // ^- / 0 v/ <br />36 -4* vje Jet Apt: <br />for new construction: Short <br />&ILic.# <br />WING <br />Existing Use of Building <br />IT APPLICATION <br />Proposed Use of Building <br />(attach copy o1 <br />PRICE OF WORK <br />description) <br />k;tTb'�in 0-ri% <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Description of Work (additional space provided on the back): t �QS� i 4 S� <br />n ( P -3 i 11 � <br />(tcrl4C e LKiS�,yt J1ehM/N�i1C f jk4� C�KL�n WtTR�/ QWF�Ct �f"� 4CQ r�¢ii(� I� �l� <br />he+.+ 1.$'eJ ``�S S+��yy++1+/ arz IrVL l/tn Vv <br />rt. l Cu" <br />S'yr1y. <br />Have ybu started Working without a permit? _YES NO <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />of Project: _New _)�Addn XAlte <br />Show Number (4) of fixture <br />of Project• _New_Addn _Alteration_Repair <br />Medical Gas <br />Other. <br />I hereby certify that I have read and examined this application and know the same to be true and coned. All provisions of laws and ordinances governing <br />this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel <br />the provision of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property <br />to perform the wort or whidr9Ppliceti ism a and I with the Stale Contractors Law 18.27 RCW and 296.200 WAG <br />" II It <br />OwnertAu o zad Agent n ignature ate (Revised 2/2011) <br />