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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everetl, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />lornewconstruction� ShotlPla� <br />� Lii����C�� I-f��ili'� <br />�' J < /,,,, c,r �� <br />ncroR (_fi�l%t_ Nrif�� <br />f r� ? z S f;,. i,,.•�- �� <br />/ PROPERTY TA%N <br />��' /���nHi l./�if lii <br />r� ��„ �-� �,.�li �,: <br />i <br />t;�''T�i�,iv_i��t�F <br />;,,�,>��,�.r,��, <br />BUILDING PERMIT APPLICATION <br />Use of Buitding <br />a <br />Lol No._ (atlach copy of long legal descriplion) <br />�/E-mail � � b�� � J v�� _('�v� C� � / <br />.late/zip �µJ,���)�v}h Lti�°>�,,,y]i�2: <br />Lic. # <br />Phone/Emal� �C�:� � � �' �1 - I <<�� <br />TACT FOR PERMIT / �. � � �;�^ f,,�J <br />Lt�..�C H�?�✓t�' <br />�IE-mail <br />TRACT PRICE OF WORK "D�� � ���J _ <br />HEAT SOURCE <br />Proposed Use of Builtling i "— --- <br />Building �ype: _ Single Fainily _ Uuplex _Townhouse _ Mulli-Family _ Commercial <br />7ypeotprojed: __New _Addilion _Remodel __Repair_T.I._Sign_Sprinkler,�Demolilion_Change ofUse <br />Descriplion of Work (adddional spzce provided on fhe back�: , � _ � -1� <br />i <br />1%�i'^.r'(1 ipN �t/.-.i� 7✓! .:���o� Cy1S�_7�`"��i� <br />i <br />Havc you started working without a permitl _YES � NO <br />MECHANICAL PERMIT APPLICATION <br />Typo ol Pra�ocl: _Now_Addn _AIl�ration _Ropafr <br />Show Nunibcr (q) of lixfures <br />i eic _ ���� r.:,,,,�r„� unifc <br />Other <br />/SU <br />Gfi��J � i��o� �'- �� � <br />/ <br />PLUMBING PERMIT APPLICATION <br />o1ProJoct: _Now__Addn _Alteratlon_Repair <br />Show Numbcr (q1 0l flxfuros <br />Medical Gas <br />Other: <br />I I Number of Heads I I I vmer: <br />I hereby cetlily Ihal I have reaa and examined Ihis application anA know Ihe same lo be iruo and correct. All provisions ol laws and ordinances goveming <br />R�is lype ol work will be complied wilh whelher specilied herein or nol. Tho yrenting of a pertnit does noI presume to give authoriry to violate or cancel <br />the provision ol any other slate or local law regulating construclion or the pedormance ol construction. Thal I am authorized by the owner of this property <br />�o peAorm Ihe work lor which applicalion is mado nnd I comply wilh ihe Slate Coniractors Law 1827 RCW and 25G200 WAC <br />/ �� <br />��� � , � / �.�..-.�1. V..t��1/ ��l ll.'1 %�� ��j/.�� �i� �f%{ �ll( C �-i('`7/: L'tl <br />O�nedA horized Agont Signaturo Dale (Revised 22017) <br />� J"7�1 j' l i i,' i i <br />