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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everetl, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />p� ONS ARE A ERL�D FROM 8 AM TO 4 PM <br />.......�..�. /�!-_C— P� TA%q I PERM1T7t. _ _ —. <br />larneweonslmclion: Short <br />� <br />9 <br />PERMIT APPLIGATION <br />_Lol No._ (allach copy of long legal descnplioN <br />PhonelE-mail <br />Lic. # <br />�f�S�Cj!•'/��1L /Jw� <br />d=�,�%c� G�'� Ch�30) <br />O H,�1j511 F� � C �- <br />PhonelEmail <br />DR PERMIT <br />PRICE OF WORK <br />Cit w <br />=xisting Use of Building <br />Proposed Use of Building S F ���'Se�E Kf Gas� [leclric_ Oiher_ <br />Bwlding type: � single Family _ Duplex _Townhouse _ Multi-Family _ Commerciai <br />Type of project: �d New _ Addilion _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolilion_Change of Use <br />�escription of Work (addRional space pmvided on fhe back): <br />you started working without a permil7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />o1ProJect V Now_Addn _Alteration_Ropair <br />Show Num6rr(N) of lixfures <br />g� � A/C—airhandlingunits <br />! cT I Forced air svstems <br />SPRINKLER <br />Number ot <br />PLUMBING PERMIT APPLICATION <br />o1Pro�ecl: _Now_Addn _AltoroUon_Kepalr <br />� � Medical Gas <br />Other: <br />I h�-reby cetlify Ihat I have read and examineC Ihis application and knmv the same lo be Irue anA correcL All provisions of laws and ordinances goveming <br />this Iype of work will be complied wilh whulher specified herein or not. Tho granling of a pemiit does not presume to give authoriry la violale or cancel <br />Ihe pruvision of any other stale or local law regulaiing construclion or the pedormance of consW�tion. Thal I am authorized by the owner of Ihis pmperty <br />tu pedorm Ihe work br which application is mada and I comply with the Slate Conlraclors Law 1827 RCW and 296.200 WAC <br />C � ' !/ <br />� -� ,'� �• zr' <br />Ownef! uthorizedAgenlSlgnaturo �ate (Rcvised2rz07f) �I� <br />