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rERMIT APPLICATION <br />BUILDING/MECHANICALIPLUINBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMI7 SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FFX 425-257-8857 — www.everethva.org <br />APPLI�A710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br />i a -a3�/ <br />/_ 7 i) �[�%', ir� 5; n��,-.�c�_�h�1 <br />LEGAL br new conslmction: ShoA PaVsubdivision <br />OWNER Z_L--<N i1fJ;.�(_.J�F_,/� <br />Address �i: � Z � � S �� /` � /�l �( j <br />CONTRACTOR � C-l/ /�/ r j ) <br />AtlEress <br />TENANT BUSINESS NAME <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building <br />8 I Lic. # <br />No._ (attach <br />7 i_ . <( <br />PRICE OF WORK �-/ �,�, �' �� <br />HEAT SOURCE: <br />�sed Use o( Building � Gas� Elecltic Other <br />ng type: � Single Famity _ Duplex _Townhouse _ Mulli-Family _ Commerciai <br />o( proJeit: _ New _Additfon _ Remodel _ Re�alr,� T.I. _ Slgn _Sprinkler _Demolitlon_Chanpe of Use <br />iption of Work (edtlifionN speco providetl on fhe beck): � <br />Have you sWrted working wilhout a �erinit7 _YES <br />MECNANICAL PERMIT <br />otProjack _New_Adtln _Altora�lon_Repelr <br />— air hantl6na units <br />Numher ol Heads <br />PLUMBING PERMIT APPLICATION <br />o1ProJect: _Ne�•_Addn _Altentlon_Repalr <br />Other <br />I IiereUy ceAily Uiat I have mad and examinetl Ihis applicatlon and know the same lo be Irue and correct. All provisions of laws and ordinances 8ovem!ng <br />Ihis lype ol work will be complied with whether specified herein or nol. The granting ol a pennil does nol presume to give authority to violale or wncel <br />the pmmslon of any olher clate or local law regulating conslmction or ihe pedormance ol consiruction. Thal I am auUotlzeA Gy Ihe owner ol Ihis property <br />lo pedorm Ihe work lor which application Is made antl I comply with the Slale Conlractors Law 1827 RCW and 296.200 WAC <br />i <br />�_ ' '� �� � ' r �^--� � Z � %`J� /� <br />Owned,� thorized Agont Signaturo . Date " /` <br />(Revised 12/10f0) <br />