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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Evere'.t, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� � � ....��... <br />�:� � S �� � � i� <br />LEGAllornewconstmclion: ShortPlaVsubdivision_ <br />DWNER L- rCt,�c�; r� �P �'I'G� U/J:..I 1 <br />�ddress �� i �� `/ � �i...i �J.•if •C�xn <br />CONTRACTOR G�-�lli-r <br />nddress <br />TENANT BUSINE55 NAME <br />�':'�:�r� <br />BUILDING PER1171T APPLICATION <br />Existing Use of Building !�� ��=- <br />Proposed Use of Building <br />8 I Lia # <br />(allach copy of long legal description) <br />�1 Z <br />PRICE OF WORK <br />U <br />HEATSOURCE: <br />_�� <br />o c� <br />ilding rype: _ Single Family _ Duplex _Townhouse _ Mulli-Famity _ Commercial <br />pe of proJect: "New _ Addition _ Remodel _ Repalr _. T.I. _ Sign _Sprinklcr _Demolftion_Change of Use <br />�scription of WOrk (adCrtional space provided on fhe Oack): <br />(�Ui�N�n� ��C1> ��r�=J <br />you started working without a permil7 _YES <br />MECHANICAL PERMIT APPLICATION <br />of Projocl: '_Nuw_Addn _AltcraUon _Ropalr <br />ShowNum6crlpl of fixtures <br />Num6cr ol Heatls <br />PLUMBING PERMIT APPLICATION <br />o1ProJoct: _Naw_Addn _Altaration_Ropalr <br />Show Number (F7 01 f&fures <br />Other <br />I hereby cetliry Ihat I have �ead and e<amined this application and know Ihe same to be Irua and correct. All provisions ol laws antl ordinances goveming <br />Ihis type ol work will be complied with whelher specified herein or not. The granlin� oi a permil does not presume to give authority to violate er wncel <br />Ihe pmvision ol any other slate or local law regulating constmction or Ihe pedormance ol wnstmction. That I am aulhorized by the o�rner ol lhis property <br />lo pedonn Ihe work lor whicn applicat:on is matle and I wmply wilh the State Coniractors Ww 18.27 RCW and 29G200 WAC <br />� � , <br />�`�: �-,y �-_' � ' IZ iC <br />OwnedAulhodzed Agenl Signaturt Date I�ev�setl72Q070J <br />