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PERMIT APPLIGATION <br />EtUILDING/MECHANICdL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <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 �' — j�-j � �+ <br />4DDRESS: PROPERTVTAXq PERMiTt _ <br />fornewcons�mclion: Short <br />NNER <br />zs� <br />BUILDING PERMIT APPLICATION <br />Use ol Building <br />j Use of Buildir <br />No._ (anach copy of Iong legal tlescrption) <br />,, ��� ��� -- ►a�3 <br />� ,�.,,: �,_�r <br />PhonelEmail <br />PRICE OF WORK <br />�12J -�J(,,-v3Ati <br />HEAT SQURCE: <br />�ilding type: _ Single Family _ Duplex _Townnouse _ Alulli-Family _ Commercial <br />ipe of projecf _ New _ Addilion _ Remodel _ Repair_ T.I. _ Sign _Sprinkler _Demotition__Change of Use <br />°Sf.fipflon of VJOfk (adtldional spaco provided on tho back) : <br />�l"L.cthrzu./ G1 C:i,1S r�t�t�-!?_ <br />you sWrted workfne� wilhout a penait? _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />o� ProJecl: _Now_Addn _Altorallon _Ropair <br />Show Numhvlpl ol /irmres <br />� Other_ <br />SPRINKLER/SUPPRES5 <br />of Hcads <br />PLUMBING PERMIT APPLICA710N <br />o1ProJoct: _Now,_Addn _Altora�lon_Rnpalr <br />Shaw NumberlNl ol lix(ures <br />Medical Gas <br />Other. <br />1 hrreby ceitdy Ihal I have iead and examined this applicallon and know Ihe samo lo be We and corred. All provisions of laws and ordinances goveming <br />In�,:; Iype ol work will be comphed wilh whether speciGed hem'� or not. The g�anling o� a permit does not presume to give authority lo vlolate or cancel <br />u a provision of any othcr slate or local Ic:v regulalinp conslruction or Ihe peAortnance ol constroctiort That I am authonzed 6y Ihe own�r ol this propetly <br />��� pcilorm U�q work for whiahpoplicatie� �d¢ and I comply wilh Iha Slate Conhaclors Law 1827 RCW and 296200 WAC <br />// //� / <br />. � /.JF� _(. /.. ' ,/ <br />�' ...- - L v' "/ <br />Owner/Aulhbrized Agcnl Siyna�ure Uale (Ree�S^d1/2071j <br />