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PERMIT APPLICATION <br />BUILDINGIMECHANICAUPLUMBING/SIGN/SPF2INKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES 3�� �_i� <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM %� //�!; �?-� <br />for new consiruction: Short <br />ia <br />NG PERMIT APPLICATION <br />Lol No._ (a8ech copy ol long I�pal desui� <br />Phone/E�mail �ZJ� ys� 3 �� <br />Ci1v/State/Zip (yi�Q.('f TT W Q 4f <br />3 <br />PRICE OF WORK <br />i� <br />—rol <br />Existing Use of Building � f' f'` HEAT OURGE: <br />Proposed Use of Building Gas � Eiectric_ Other <br />Building type: � Single Family _ Duplex _ wnhouse Multi-Family _ Commercial <br />Type of project: _ New _ Addltion _ Remodel �Repair�T.l. _ Sign _Sprinkler _Demolilion_Chenge of Use <br />Description of Work (edddionel spece providetl on fha beck): <br />Fl2E DQMqC?E WGu.dC i�jQOl�Gz(1 <br />Have you staRed working without a pertnit7 _YES �NO <br />PERMIT APPLICATION <br />o1ProJect: _New_Atldn _Altaratlon <br />Show NumDer (M) ollixtures <br />A!C — air handlinn ur <br />ol Heads <br />PLUMBING PERMIT APPLICATION <br />o1ProJect: _New_Addn _Alter� <br />Show NumberlNl o/ Rxtuiea <br />Other <br />I hcre�y cetlily thal I have read and examined Ihis appliwtlon and know Ihe same to bc Iruo and corred. All provisions of laws and ordinences goveming <br />this type ol work will be complied wilh whether specifietl herein or not. The granting ol a permit does not presume to give authonry to ��lale or cancel <br />Ihe piovisio rol any other stale or local law mgWating conslmclion or Iho peAormance of constructiun. That I am aulhonzed by Ihe ovmer ol lhis pmpedy <br />tu palom t or which ap� I ation is ma0e and I comply with Ihe State ntraclors �aw 1827 RCW antl 296,200 WAC <br />� � 9� / <br />O ne Autho ze igi 1 le (Revised tt?Of0) <br />