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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everetl a org_ _I <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 2f <br />PRnPrRTYTA%0 PERMIT _ , '.r I 1 <br />tll0-s <br />for new construction: Shod <br />NG PERMIT APPLICATION <br />r S — Lot <br />Phone/Email <br />_1u= <br />r . (LIA `i8t <br />\)O'j W I�O�INy4 <br />gone/E-mail L — Z <br />ONTRACT PRICE OF WORK — <br />ng Use of Building <br />med Use of Building <br />Gas Electric Other_ <br />img type: Single Family _ Duplex —Townhouse _Multi -Family _Commercial <br />of project: _New r Addition _-Remodel _ Repair _T.I. _ Sign _Sprinkler_Demolition_Change of Use <br />ription of Work (additional space provided on the back) : <br />X9 FF KIT' CH6A/ <br />you started working without a permit? _YES ..)LNO <br />PLUMBING PERMIT APPLICATION <br />MECHANICAL PERMIT APPLICATION <br />of Project: _Nev_Addn _Alteration _Repair <br />TYPe ni Proiect: New _Addn _Alteration _Repair <br />Show Number (0) of fixtures <br />SPR <br />SY <br />Medical Gas <br />Other: <br />l ptovisi:ms if <br />1 hereby o rworthat <br />Will be complied with wheI have read tned INS application her specified herein or not. The granting of a permit does�novv the same lobe true and rnot presume to give euthc tyto ordinances <br />or canceling <br />this type <br />the provisio 1 any other slate or I I law regulating construction or the performance of construction. That I am autnodzed W the owner of this property <br />to perform work r which a 00 Is ads and I comply with (h State oniractors Law 18.27 RCW and 268. 200 WAG <br />r� ale (Revised Y2011) t <br />Owner or) Agent n ureAgent n ure I'L <br />