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PERMIT APPLICATION <br />BUILDINGIMECF�ANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257 8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� �� <br />ADDRESS: ���^ `�'L �r �� PROPERTYTA%p �ER��R�>. OC'1 <br />Cl �i_ � / / <br />lornewconstmction: Short <br />;�tY37ab'� 1i1.`54 ( �i'GO <br />z�� ti/'� /��. s� <br />/i7721 L"71 NW.S CC�l7`�J7-U-• <br />BUILDING PERMIT APPLICATI4N <br />Use of Building <br />d Use of 6uitdir <br />Lot No._ (allach copy of long ,egal descriplion) <br />ic/E mail <br />State/7ip <br />I LiC. # <br />;'Q Phone/Email <br />JTACT FOR PERMIT <br />mi6mail % �yr �1�J�13 �iGS—�[O—� <br />JTRACT PRICE OF WORK �o� 1��e <br />HEATSOURCE: <br />ng lype: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />of projec;: _ New _ Addilion _ Remodel _ Repair __ T.1. _ Sign _Sprinkler _Demoi�tion_Change of Use <br />�iplion o( Wo�k (adtldional space pmvided on tho back): <br />you slaAcd working wilhaut a permit7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />Typa of ProJoct: _Now_Addn _Alterallon _Rupair <br />Show Num6er (�1 �� Iixtures <br />I NC — air handlino units <br />SPRINKLER I <br />of Heads <br />PLUMBING PERMIT APPLICATION <br />off'roJect: _Now_�'•dtln _Alloratlon_RoNalr <br />heater <br />Idedical Gas <br />Othec <br />Olher <br />I hereby ceitdy �hal I have read and e�amined ihis applicaGon and know �ha s, me to 6e lrue and conecl. All prnvi;lons oi laws and ordinances governing <br />Ihis type ol woik will be comphed wilh whMher speaLeA herein or noL The grantinq of a permil does not presume lo give authorily lo violalo or cancel <br />Ihe provision of any olher slate or lowl law regulaling consiruclion or Ihe pertonnance ol conslruction. That I am aulhonzed 6y �he owner ol this pmpetly <br />�o pedorm Ihe work I�which apphcation is made and I compiy wi�h Ihe Slate Conirectors Law 7827 RCW and 296200 WAC <br />�_.., �/ <br />/ �"` �� � `.% <br />OwnodAu�hbNzed A,ont Signalure Date (Revisetl7f1071) <br />