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( <br />PERMIT APPLICATION <br />BUILDlNG/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMI f SERVICES <br />3200 Cedar St., Cverett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� <br />fornewconstmction: Shon <br />3> <br />� C� IIJ <br />S <br />BUILDING PERMIT APPLICATION <br />Existing Use o( Building <br />TAX p <br />No._ (ellach <br />��i �/�S <br />PRICE OF WORK <br />of long legal descriplicn) <br />Proposed Use of Building _ I vas_ uecmc_ �mei _ <br />Building type: _ Single Famil�� � Duplex _Townhouse _ Mulli•Family _ Commercial <br />Type of project: _ t._w _Addition _ Remodel _ Repair_ T.L _ Sign __Sprinkler _Demolilion_Change of Use <br />Descrip�ion o( Work (edditional space provided on fhe 6eck): <br />�C-�OnF= <br />Have you started working without a pennit7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />ofPro)act; _New_Addn _AlteraUon_Ropair <br />Show Num6erlNl of Iixtures <br />SPRINKLER <br />PLUMBING PERMIT APPLICATION <br />of ProJect: _New _Addn _Altoratlon _Repair <br />Show NumDerlM) o/flirfures <br />Medical Gas <br />Other: <br />�� � <br />� I Number o� Heads � I I utner: <br />I hereby certify ihal I have read and ezamined this application and knoiv Ihe same to ba livo and conect. All provisions of laws antl ordinances govem�ng <br />lhis lype of work will be comp�ied with whelher specified hereln or not. Tho granting of a permit does not presume lo give aulhority lo violate or wncel <br />Ihe pmvis�on ol any olher state or local lew regulating conslruction or Ihe peAormance ot conslrvction. That I am authodzed by Ihe owner ol this pmperty <br />lo pedorm the woik for which application is made and I comply with Iha Slate Conlractors Law 1827 RCW and 296.200 WAC <br />i��� �'1 V � � � <br />O n r/A�thor e ont uro Date (Revised7/1071) <br />