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PERMIT APPLICATION <br />F3UILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CI7Y OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 9b101 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />lor new consimclion: Shorl PlaVsubdivision Lol No. <br />t �1,. 1�ln,�n IXi� �_ ? Phone/E-mail Z <br />� � l�- "l Lli' — s� 1 <br />�k(�r�'R, ��� C <br />,;�i. Z2�:II�1��C �n17r�� <br />IESS NAME <br />PERMIT APPLICATION <br />(atlach copy of long legal desviption) <br />�ZO-'3o�iU <br />iJn,q51� � �1�/i "7 �� <br />�F�� �'3�oF <br />imail 7�V�a �-IZU' �UQ7 V <br />MIT <br />y,. �� 20- ���'r U <br />PRICE OF WORK <br />ng Use of t3uilding HEAT SOURCE: <br />�sed U5e of Building Gas_ Electric_ Other_ <br />ng type: _ Single Family _ Duplex _Townhouse _ Mulli-Family _ Commercial <br />ol project: _ New _�ddition _ Remedel _ Repair _ T.I. _ Sign __Sprinkler _Demolition_Change of Use <br />rip�ion of Work (adddional space pmvided on !he back): <br />you started working wlthout a pertnil7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />ofPro�oct: _Now_Addn _Altorallon_Ropalr <br />Show NuntbcrlM) ollixfures <br />SPRINKLER <br />of Heads <br />ON SYSTEM <br />PLUMBING PERMIT <br />ofProJect: _New_Addn _Alteratlon_Repalr <br />Show Number (p10/ flxfures <br />Medical Gas <br />Othec <br />Other: <br />I hem certi�y that I have read and examined �his applicalion , nd knmv 1he same to be true and cormct. All pmvisions of laws and ordinances goveming <br />Ihis pe of wdik will 6e wmplied wiU� whether specfied herein or not. The gra�ting ol a permil Aoes nol presume lu give aulhor ;y to violate or eancel <br />Ih , piovj�ion'ol any other slate or local law regulatinp constniction or Ihe pMormance of consS�¢tion, 1 hal 1 am aNhonzed by Ihe owner ol thi5 pmpetly <br />I pedeim tie work fur �vhich application is made and I comply wilh Ihe Staie Coniraciors Law 1! 27 RCW and 29620D WAC <br />� o'� _ �J�4�1f <br />Agent Signaturo <br />1 l 1�'r��� �. <br />(Revised7/2017) <br />