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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257�857 —www.everettwa.org <br />APPLlCAT10NS ARE ACCEPTED fROM 8 AM TO 4 PM <br />"°°`��:3?20 52"d pl_. 5W 0039�0']00301'4�0 ��t�S-v� <br />(or new consWcliun: ShoA PlaUsubdivision lot No._ (at�aU copy af lag legal tlesafpllon) <br />r�P'.'iY� ui�v�::d11h•�G�_ Phone/E-mail �(D Sst 5�54 <br />22b <br />Sb.� <br />BUILDING PERMIT APPLICATION <br />Use a( Building <br />PRICE OF WORK <br />�l�qo <br />SOURCE: <br />Propased Use of Building S� I Gas_ Electric_ Other_ <br />Building lype: � Single Family _ Duplez _Townhouse _ Multi-Family _ Commerolal <br />Type of project: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _DemdiOon_Change o( Use <br />D05cnption Of WOrfc (addN'onel space proviOeC on IAe beck): ^� �f��p �p� /�16r c.. � <br />���� �• . w-,�c� <br />�EO(�.pGI`�L i°�P�.�cr.l0 , <br />you slaRed worfcing wlthout a pertnit? _YES �10 <br />MECFIANICAL <br />ot ProJsct� _Mew <br />/ <br />APPLICATION <br />_Akaratlon _Repalr <br />o/flrfuras <br />of Heads <br />PLUMBING PERMIT APPLICATION <br />01 ProJacl: _New _Addn �Altxatlon _Repelr <br />Slrow Number MI o/ Porturas <br />Medical Gas <br />OU�er: <br />Other. <br />I hereby ceAify Mat I have read aM e�mined thls apPliraUon and Mmw Ihe same to be trua and wTeIX. All provisbrw of laws arM ordinarwes goveming <br />Ihis (ype wdk x111 be comDlieC vAth wAetner specified herein w rrol The grantlng ol a parmR daes not D�ume lo glve a Wiority to vbleta a car.eel <br />the P bn of a oMer slata or bcal law regulaling construNon or Ihe reAortnance al mrsWction. Tha1 I am auUrortred �y Me wmor oi Uis P�M <br />to pe the rk fw IM appliration :s maCe aM I compry �Mth t�e State Contrapas law 18.27 RCW aM 296.200 WAC <br />��� � <br />Own�rlAuMo�1=sd geM9lpnature ata (RevlseA7l70f7) <br />