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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 96201 - 425-257-8810 — FAX 425-257-8857 — uvww.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />ADDRESS: PROPERTYTAXtt PERMI -� <br />o�)n'Z U ht d,,. �/ <br />for new constmclion: Short <br />m <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building <br />8 I Lic. # <br />Phane/Email <br />PRICE OF <br />eopy ol long lepal description) <br />F���.c.an-. �l�S <br />SOU <br />io <br />Proposed Use o( Building "' - -- <br />Building type: ,� Single Family _ Duplex _Townhouse _ Multi•Family _ Commercial <br />Type o( projecC _ New _ Addilion _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Description of Work (atltlrtionai space provided on the back): <br />��,� � yrr <br />you staAcd workinc� without a pennit? _YES S� NO <br />MECHANICAL PERMIT APPLICATION <br />o1ProJocl: �x Now_Addn _Altcration_Repalr <br />Shmv Numbcr (k) al liztums <br />I NC — air handtina uni�5 <br />SPRINKLER I SUPPRESSION SYSTEM <br />PLUMBING PERMIT APPLICATION <br />o1ProJecL• �New_Addn _Altcration_Repair <br />Medical Gas <br />Other. <br />I heieUy cerlily Ihat I hnve read and examined Ihis application and kno�v the same to Uo Irue and wrrect. All pmvisions ol laws and ordinances govemin� <br />�his lype ol �vo�k will be complied �vilh whe�her specifed herein or not. The granting ol a permit does nol presume to 9ive aulhority to violate or cancel <br />U�e piovision ol any olher slale or local law regulaling conslruction or the pedormance of conslmction. That I am aulhorized by the owner ol thls p�opeity <br />to pertorm Ihe wmk lor e:hich applicalion is made and I co ply wilh ihe Sla�e Coniractors Saw 18 27 RCW and 29G200 WAC <br />�� Si�i-`�i /� / � '"[� �F•ev�sed2/2011J <br />pwrwd u�1 thodicd Agent Slgnalure Dale <br />��� <br />