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PERMIT APPLICATION <br />BUILDINGIMECHANICALlPLUMBINGISIGNISPRIhKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 - 425-'57-8610 — FAX 425-257-8E57 —�w✓�.everettwa.orgG `I <br />APPLICATIONS ARE AC'EPTED FROM 8 AM TO 4 PM pERM17 7 <br />PROPEftTYTP%p �.-v e�-_... s�n�^� .' � I Jrl� -. i�l '"� <br />:�MW�� <br />totnewCDnSINClion Short <br />UIIDING PERMIT APPLICATION <br />AILic <br />No lattach copY of iong legal aescnption) <br />.- P .-. <br />',3 7�� f Pho e Ema ��j (.% i.� / j� �=� T� <br />�ONiACT FOR PERMIT � 4-, �n ^7 yti '73�'�=� <br />ho eC I D t "\ f7t'U' �'� — <br />CONTRACT PRICE OF WORK cz+ A L C� c <br />��.aislmg Use of 6uilding �^�'� Y"'�`V � �'- �G s Bectr c� Omer <br />�roposetl Use of Bwlding �?x-��`���� Q <br />fuilding type-. �Single Famtly _ Duplex _Townhouse _ Mul1i-Family _ Commercial <br />'ype of projecC �(,NeW —Adtlition _ Remodel _ Repair _ TJ. _ Sign _Sprinkler _Demohhon_Change of Use <br />�estnption ot Wark (atlmIhona� sPace promtled on Ihe backl-. C � ��,,. ` (_� s } � �{..' +`� <br />a- ��.�'�"�' �� L>,v\ ItC d �Gi t�..'.<� Jr �' f t'�'`' !� . <br />Haveyoustartedworkingwithoutapermil7 _,YES _L�N� P�UMBING PERMIT APPLICA7�ON <br />MECHANICAL PERMIT APPLICATION <br />Type nl ProjeU: tiNew _AdAn _Alleralion _Repair I 7ype o� ProjecC _New _Qdtln Altcralion _Repair <br />Show Numbrr (p) a( (iKftves <br />Unit <br />ON SYSTEM <br />Wa�er <br />Olher <br />Gas <br />'i Number of Heads <br />I'�eieby ccridy thai I nave re. d a'�d e�;�minetl this apP'������nn antl ti��ow R�,a s�me lo be ime antl co:rect All pmvisons ot la��s antl oitl�i�ances ao:rn.��9 <br />;hs type of work vnll be cemp6ed ��Ih whelher specihed herein or not The g��n�ing of a pennd does not presume to grve authcury to violale or can�_cJ <br />;i �.e prov,sro� ot any othr state or local law regNanng constmction or the peAormance ol constmction That I am aulhonzed by the amer ol th�s prcpeny <br />�,o pedorm Ihe vro�k tor which application is matle and I comply vnth Ihe State Conlraclors Law 1B 27 RCW and 296 200 WNC <br />- �j / �i � �"� � 3 <br />� � � a ._'. ( d�-... � ���( C, Il..i. (Re�+�eJ: �:0111 <br />,�c.i <br />Owncr:Authon�o�fl.,��.•.. � . <br />