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PERMIT A�PLICATION <br />BUILDINGlMECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES I�" >>�=' �� <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — v�nvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />q�R I / /� PROPERTYTA%p P�MI�b� • -;�i,� <br />ESSl1t- �I5 f�;�/I'l!i �.L �L . <br />lor new canstmction: Shoit PlaUsubdivision Lol No. ?i (attach copy ol long legal description) <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />Phone!&mail y] � � r�/ % Z'�'�'� <br />r �� <br />c�v�si�i�a�p ��,�,'•�::r,sG /✓,ti I� <br />Lic. tt 7! � C U7 c;+ <br />PhonelEmail ��•(��` j�J' <br />TACT FOR PERMIT <br />±lE-mail �r!( � �411Y)%✓/�Pi.� <br />TRACT P�OF WOR����� <br />�� � �/ %-:-'. <br />��-- 7_'� <br />� <br />Proposed Use ol Building � --- — <br />6uilding type: � Single Family _ Duplez _Townhouse ,_ Multi-Pamily _ Commercial <br />Type of projecl: ,� New _Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolilion_Change of Use <br />Descriplion of Work (atlddional space provided on Iha back): -�(/' <br />� <br />/�,r�%�' �'�ti Sjr'� � . �, l / <br />Havc you started working withoul a permit? _YES .-i, NO <br />� 11 7-' <br />MECHANICAL PERMIT APPLICATION PLL�ABING PERMIT APPLICATION <br />Typo of ProjocL• ,jLNew_Addn _Alleratien _Repair <br />PRINKLER I SUPPRESSIO <br />� Numberof Heads <br />ot ProJocC 1Now _Addn _Alleretlon _Repair <br />Show Number (#i a1 fixturcs <br />Medical Gas <br />Other: <br />Other: <br />I hereby cetlify Ihal I have read and e.amined this appliwtion and know lhe same to be We and correct. All provisions of laws and ordinances goveming <br />Ihi, lype of work �vill�e complied �vilh whether speciGed herein or noL Tho granting of a pertnil does not presume ta give authodry to violale ar cancel <br />Ihe provision of any o�her s�ate or local la�v regulating consiruction or Ihe pedormance of construction. That I am authonzed by the o�mer ol this propeny <br />tu perform the woik IY which appliwlion is made and I camply wilh the Stale Cc+ntractors Law 1827 RCW and 29G200 WAC <br />/.� <br />r / <br />Dale �� I � � , (Revisetl220ft1 l � <br />_ /�� <br />