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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425•257•8810 — FAX 425-257-8657 —www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />lornewconsiruction�. Short <br />L81 <br />�OQO00(��0 I f' IGv< <br />No. i (attach wpy ollong Icgal description) <br />;� �0�-3�+ u.t.s aat�f,�+-'k+ec�� <br />� <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Exisling Use of Building ����Ceti+� 1°1Q SOURCE: <br />Proposed Use of Building t�y �rK Cen�et' Gas� E�ennc_ Ofher__ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family � Commercial <br />Type of projecl: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />DeStriplionofWork(atltlifionalspaceprovidedon(hebac4): S�I(:n+c``foP¢.f�y <br />Hav� you started working withoul a permit? _YES �NO <br />MECHANICAL PERMIT <br />olProject: _New_Atldn _Alteratlon_Repalr <br />Show Number (a1 ollLrfures <br />I NC—airhandlinpunils <br />SPRINKLER <br />healer <br />Number ol <br />PWMBING <br />o1ProJect: _New_Addn _Altcratlon_Repalr <br />Roof drains <br />Medical Ga <br />Other. <br />I nemby mrbty tnat I have reaU and examinetl this application and Anow t�e same to be tmm and wrmct. All pmvisions ol laws anC ordinances goveming <br />ihis type ot woYe wnl 6e romp�ied ���th w�elher speulied hemin or not. The pranting ot a permM1 does nof presume Io give au�honty to violate or cancel <br />the pmvision ol any o�her state or lowl law regulaiing wnsiruction or Ihe pertortnance of conslruction. That I am authorized by Ihe o�wner o� Ihis propeity <br />lo pedormiM1eti+e k tor wh' � applicalion is matle antl I wmply �ith Ne Sta�e Conlractors Law 1827 RCW ana 296..^00 WAC <br />(,�;�� � � �� o�-a0-/Z <br />Owner/Authodzetl A ent SlgnaWre I l Uate (Reviseo Z201t) <br />1/� <br />I <br />