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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERM�T SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 9 HM TO 4 PM OL� <br />.nneccc. , PROPERTYTAXN PE�M�Tx_ , . — <br />lor new conslruction: Short f'IaVsu6divisicn_ <br />i T �+.t u C <br />�O.Jl,�i"���/- /�Jn� <br />ncroR N✓tRJE� T,�uci��c� <br />103yS�i,an��f c+�tia .: <br />T BUSINESS NAM <br />I�yI! �y.^+� � � I i 1!� <br />DING PERMIT APPLICATION <br />Use�fPuilding �nyl( �y�..! <br />� <br />(atlach copy ol long legal tlescription) <br />%i�i'7LZZ �AnLC 4 �7F� <br />i.�.w�tL iiltr5�+��413-(% <br /># � LI'� 1'�L � <br />36�) 5Gs-Yb'o/ <br />i2 T <br />1-✓�1�UCE YIli <br />PRICE OF WORK <br />K�-y.�C ONl <br />�J <br />��J.J HLS SG�FJ'.j✓% <br />�yz�s) 7Sy-72zz <br />�ov. ��� <br />SOURCE: <br />�sed Use ol Building � �+ u ^ � ""'� ` _ - - — <br />ng type: �, Single Family _ Duplex _Tow ouse _ Multi-Family _ Commercial <br />ol project: � New _ Addilion _ Remodel _ Repair _T.L _ Sign _Sprinkler _Demolition_Change of Use <br />riplion of Work (adtlifional spaco pmvidetl on Ihe back): ��M I� � <br />. ��� ��� .�� <br />Have you started working without a permit7 _YES �"_ <br />MECHANICAL PERMIT APPLICATION <br />Typa ol ProJocU �Naw_Atldn _Allarallon _Rapair <br />Show Numbcr (k) ol fixfures <br />NKLER / <br />N SYSTEM <br />PLUMBING PERMIT APPLICATION <br />a1ProJoct: _New_Addn _Alteratlon_Repalr <br />Show NumberlNl ol fixfurcs <br />Medical Gas <br />Other: <br />9 <br />I � Number of Heads I I I �tner: _ I <br />I hereby cenity ihat I have read and examined this applica�ion anA know Ihe same to be Ir. � and wrteq. All pwvisions ol laws and ordinances goveming <br />this lype ol �wtk will be complied wilh whelher specifed herein or noL The granling ol a pemiil does not presume to give authonry lo violato or eancel <br />Ihe provision ol any other state or lowl law iegulaling consWction or Ihe pedormance ol conslruction. That I am authorized hy Ihe owner ol Ihis propetly <br />to pei form Ihe worA lor vhich appliwlion is made antl I comply with Ihe State Coniractors Law 7827 RCW and 296200 WAC <br />�'� ��— .�"�-I 16 1dl/ G'_, �7 T-G�NSJ !,✓ <br />OwnodA lhodzod gent Slgnaturo Da�e fRevised7R017J <br />�r ,�,�s�,����. �� L��-ti'� c N�;Q,, c y �/z <br />