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�I'ERMIT APPLII;ATI�ON <br />BUILDING/MEC4ANICAL/RLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — wwNi.evereriwa.org � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM ;..a.S-�'/� <br />for new consiruction: Shorl <br />8 I Lic. <br />BUtLDING PERMIT APPLICATION <br />Existing Use o( Building <br />O/ " <br />No._ (a�lach copy of long legal description) <br />PRICE OF WORK <br />n <br />HEAT SOURCE: <br />Proposed Use uf Building � "°'� ` - — — <br />Building type: _ Single Family _ Duplex _Townhouse _ Mulli-Family � ommercial <br />Type of proJect; _ New _ Addilion _ Remodel _ Repalr _�,Li.l. _ Sign _Sprinkler _Demolltion_Change of Use <br />Description of Wo�k (addifional space p,rovided on fhe back): <br />/:�<�1���-,d �n�,. s �d �(J��IL <br />Have you started working without a permit7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />Type o( ProJect: _Now_Addn _Altoratlon _Ropair <br />Show Number fM) of (lxfures <br />PLUMBING PERMIT APPLICATION <br />ofPrnJect: _.Now_Addn _Allerotion_Repalr <br />Show Number (#) of flxturcs <br />Other <br />1 hereby certify tha� I have read and examined Ihis applicallon and know Ihe same lo be true and correct. All provisions of laws and ordinances goveming <br />�his lypo of work will be complied wi�h whether sp^cified herein or no�. The granting of a permit does nol presume to give aulhority lo violate or cancel <br />ihe pravision o( any other slate or local law regulaling construclion or Ihe pertomiance of conslruclion. Thal I am authorized 6y Ihe owner of this propeAy <br />�o perform the work for which application Is made and I comply wilh Ihe Slale Conlraclors Law 18.27 RCW and 296.200 WAC <br />�� ���� � /�alS�JD// <br />Own / uthorizedA�5l�uro Dale (Revised1u010) <br />�� <br />'l2 <br />