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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITICN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8657 — wv�nv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />for new conslmction: ShoA <br />� <br />BUILDING PERMIT APPLICATION <br />Exis�ing Use of 8uilding <br />\���Z - <br />Lot No._ (atlach copy ol long �egal descriplian) <br />ionelGmail �Z$� ys� 3 �{8S <br />�Y�S�����Z�P Gver�+± U�fc� `t$a03 <br />8����� o�o;cz� _ <br />qg��3 Ph�ne/Email � 5aa-g5'�a <br />ONTACTFORPERMIT � ,,y\Q �OK(e- <br />PRICE OF WORK <br />NEAT <br />sed Use of Du�lding I Ga= ✓ Electric � Other_ <br />�g type: �[ Singte Family _ Duptex _ ownhouse Multi-Family __ Commercial <br />of proJect: _ New _ Addidon _ Remodel ✓Repair�T.l. _ Sign _Sprinkler _Demolilion_Change of Use <br />ip�io� of Wo�k ;edd�tional space p�ovided on Ihe back) : <br />�12E T��9�A�7E W�I< �((10(7G?f�l <br />you staAcd working without a permit7 _YES �NO <br />MECHANICAL PERMiT APPLICATION <br />oiProJec�: _New_Addn _Altrra�lon,�Ropair <br />Shaw Num6cr (#) aflixfures <br />nIC — air handtina units <br />NKLER/ <br />ol Heads <br />N SYSTEM <br />PLUMBING PERMIT APPLICATION <br />a1Pro�ect: _New_Addn _Allcrallon <br />Olher <br />I here�y certily thal I have mad and examined Ihis appLcation and know Ihe same lo be tme and cormct. All provisions ol laws antl ordinances governing <br />this type of �vork will be complied wilh whelher specified herr� or nol. The 9ranting of a permit does not presume ta give authorily to violale or cancel <br />ihe provisio of ny olher slafe or lowl law mgulaling eonslmel�on or Ihe pertormance ol constmction. Thal I am au�horirntl 6y Ihe o-�vner al this propedy <br />to peAor 11 v or which ap � ation is made and I comply �vith Pie State ' Nractors Lmv 1827 RC1'J and 296.200 WAC <br />( �� �( <br />O nc Aulho zc ig 1 �' �c (Hev�sed77R010J <br />