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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <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: �1 p ` PROPERNTA%k PERMIT ft.�2 <br />L11'1 � �._� L1��0 G'UVJ�OI �)w'(�Z� <br />fofnewcon5lmtiion'. Short <br />�LV�(Ci-F <br />1 Mi�s�'o� <br />BUILDING PERMIT APPLICATION <br />Usc of 6uilding <br />8 I Lic. # <br />Nfck. <br />No._ (attach copy ol long legal description) <br />PRICE OF WORK <br />- 5�a -a.918 <br />�sed Use of Building � "°>-� "`""'"— " — <br />ng type: _ Single Family „__ Duplex _Townhouse D�Multi-Family _ Commercial <br />of project: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />riptionofWork�a �itionalspacep,rovidedonthebackJ: 1sL F� � �� AAo�, Rpr� , <br />1 I •A. <br />j����� `''�ate.r (+e��e. � p„� �s� a,,�r <br />�„ �, �'cov�r <br />yuu started working without a permil7 _YES �G NO � � �%�°� o�` �,�� � <br />MECHANICAL PERMIT APPLICATION <br />otPro�act: _New_Addn _ <br />ShowNamberlNl 01 <br />Other <br />PRINKLER <br />of Heads <br />PLUMBING PERMIT APPLICATION <br />oi ProJoct: _New _Addn _Alteration _Repalr <br />Show Numbcr (M) o( /ixturcs <br />Medical Gas <br />Other: <br />Other. <br />I hereby certify that I hnve read and eaamined Ihls apolication and kno�v Ihe same to be true and correct. All provisions ol laws and ordinances goveming <br />Ihis lype ol wark �vill be complied �vith r+hether specifed herem or not. The granling of a permil0oes not F�esume to give authority to violate or wncel <br />Ih^ provision ol any other stale or lowl law regulating construction or Ihe pedomiance of construction. That 1 am authonzed 6y Ihe owner ol this pmperty <br />lo pertorm ihe �wrk lor which application is made and I compl wit the State Contractors La�v 18.27 RCW and 29G :00 W�C <br />i� 3l �s/r � <br />Ownor/Authodzed Agent Signature b le (Re.ised 2R077) <br />