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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <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 �i� �� Ci �-I 2 <br />�� <br />for new constNction: ShoA <br />( e�- <br />7 <br />� (� <br />BUILDING PERMIT APPLICATION <br />_(altach copy ol long legal descnpll�n) <br />�(2� -Z� `�' - 7ZS0 <br />[-_U,Y�T� lU/�- `/gZoi <br />PhonelEmaii <br />DR PERMIT <br />!3'%l,lF L�ZS -Z��"'7Z �—O <br />PRICEOFWORK ���JD.� <br />HEATSOURCE: J�O <br />ng Use of Building <br />ised Use of Building C/}�2 l� R'�— Gas Electric_ Other_ <br />ng lype: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial , <br />ofprojecC _New _Addilion _Remodel _Repair_T.I._Sign_Sprinkler_Demof�ion_Change ofUse <br />�iptionofWork(addifionalspacoprovidedonlhe6ack): �,�NSn2Uc.Tl�^� o�- �� x �`�'� C�2�G�ZT <br />� you started workfng wflhout a permtt? ,,,_,YES �,NO <br />MECHANICAL PERMIT APPLICATION <br />ofProJect: _New_Addn _Altcrallon_Repalr <br />PLUMBING PERMITAPPLICATI <br />ProJect: _New_Addn _Alleration_Repalr <br />.chnw Numberlpl ol flrfures <br />Medical Gas � <br />Olhor: <br />I herehy certily ihat I ham read and eaamined this applicalion and know t�e same lo bn Wo and wrrecL All provislons ol laws and or0inances 9oveming <br />this lype ol vrork will be complied �Nlh whMher specified herein or not. Tho granting of a permit does not presumo to give authonty lo violate or wncel <br />tho provision ol any other stalo or local law regulating wnstruclion o� lha peAormanco ol consWclion. 7Tat I am aNhvdzed by Ihe owner ol tnis property <br />to pertorm tho �wrk lor which ap lication Is madc and I comply wilh tho Stale Conlraclors Lew 1827 RCW antl 298.2�0 WAC <br />�.� ��J�/� �n.~. G' �Cfl ' � Z <br />OwncrlAuthorized Agent Signaturo Date (Revised 1/1011) <br />,(Z <br />