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f <br />{ <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLER/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 1 PM <br />♦nnoccc• PROPERTYTAI(N P�RMIT/{,,,� rt� <br />lornewconstruction'. Shoh <br />N /A <br />BUILDING PERMIT APPLICATION <br />UseofBuilding �IN�yy L�.wi�H 1�E�> <br />d Use of Building N�A <br />No._ (attach copy ol long legal descnptlon) <br />PRICE OF WORK <br />G�1R�� <br />ng type: � Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />of project: _ New � Addition � Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />DeScripiion of Work (etlaitional space pmvi0ed on fhe beck): <br />• �SDDmoN OF MPcsT1E� BE.� ?�KM �I�tx?�� <br />.REr+oveL OF ��sT.'BE�Rocr�S � f�o9 oF �N' <br />Have you started working without a permit7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />olProject: _New�,Addn _Alteration_Repair <br />Show NumberlFl o(fixfures <br />PLUMBING PERMIT APPLICA.TION <br />o1ProJect: _New Addn _Alterallon_Rapair <br />Mediwi Gas <br />Olher: <br />Other. <br />I here6y certify Ihal I have read and enamined this appliration anC know Ihe same lo be true antl correct. All provisions ol laws and oMinances goveming <br />Ihis lype of wvrk vnll be complied with whelher specified herein or not The granling of a pertnit dces not presume �o grve aulhonty to vwlate or cancel <br />Ihe pmvision ol eny other slate or local law regulating consWction or Ihe peAormence ol constructioa That I am authonzed by Ihe owner ol Ihis propery <br />to pedorm the work lor which appliwtion is mede and I comply with the Stale Contractors Law 1817 RCW an0 296200 WAC <br />OwnedAytlorizedAgery$igi e DeJ 'I (Revised1R0f11 <br />��� � <br />