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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CIT'r OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WF� 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />�� APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �I " O 7�—/ I <br />lor new construction: <br />Cogq'�// iY'iehn/s /1uti�iU�i/� /f�'�/s <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building <br />a%J39�//�/1%�/(/(/ I RMIT� <br />�i��3-D <br />Lol o.L_/ ( t�h co y of long Iegal description) <br />PhonelE•mail yZj��25/'d��� <br />CitylS�ate/Zip ��j"� u/�" <br />L&ILic.# _ <br />Phone/Email <br />CONTACT FOR PERMIT ��,� dO�� ` <br />�� <br />Phone/E•mail �� �29 3Y�/ /vi��CF"Tf�f)/ <br />CONTRACT PRICE OF WORK �f%�• <br />� HEAT SOURCE: <br />Proposed Use of Building ✓4//'/G �aas_ ueanc_ vum�_ <br />Building lype: _ Single Fami/ly _ Duplex _Townhouse _ Multi-Fami�y _ Commercial <br />Type of project: _ New �Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Description of Work (addifional space rovided on fhe backJ: <br />�� ���y�������� ����y ��, <br />�-;J�� �,�� �� ��� <br />Have you started working ithout a permitT _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />o1ProJecl: _New_Addn _Alteretlon_Ropair <br />Show Num6er (N) o/ fixturos <br />SPRINKLER/ <br />of Heads <br />PLUMBING PERMIT APPLICATION <br />ol ProJoct: _New _Addn _Altantion _Repair <br />Show NumberlN) o/ flxfures <br />Medical Gas <br />Other: <br />I hereby certify lha� I have read and ezamined �I.�, applica�ion and know the same to be truo and cortect. All provislons of laws and ordinances governing <br />�his �ype of work will be complied with whether specified herein or nol. Tho granting ol a permit does nol presume lo give au:horily to violale or cancei <br />ihe pmvision ol any olher sta�e or local law regula�ing construc�ion or the peAormance ol conslruclion. That I am authodzed hy Ihe owner of Ihis property <br />to perlor e or which application is mado and I comply with the Slate Conlraclors Lew 18.27 RCW and 296.200 WAC � <br />�'!�/ d�//// �a <br />OZvno Aulhos ed A9ent Signawre Dale (Revised L2071) <br />