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PERMIT APPLICATION -�f�� <br />BUILDINGIMECHANICAL/pLUMBINGISIGNISPRINKLER EMOLITION' <br />'Y O EVERETT PERMIT SERVICES ��� <br />Cli F <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACC[PTED FROM 8 AM TO 4 PM _ �•- 3'� I <br />TAX p <br />PERMIT # <br />,.,....,.... � .- � oZ�S�r (t / /,f'� I __ I fJll (�� <br />lor new conslruction: Short I'IaVsubdivision Lol No._ (altach copy ol long legal description) <br />�i <br />.a IL 8 I Lic. # <br />F� <br />FhonelE-mail TGr � � ��.lfJ . /1�E % <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK /St�� _ <br />Existing Use o( Building _ <br />��� ¢� HEATSOURCE: <br />Proposed Use of Building �'�I'�Q _ Gas_ 6��ctric� Olher_ <br />Building type: _ Sirigle Family _ Duplex _Townhouse � Multi-Family _ Commercial <br />Type of projecl: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Desc�ip�ion of Work (additional sp2ce provided on the back): <br />Have you started wurking without a permil7 _YES �NO <br />MECHANICAL PERMIT APPLICATION <br />Typ, �fProJech _Now_Addn _Altaratlon_Ropafr <br />Show Num6er!#) ollixtures <br />RlNKLER <br />Number of Heads <br />i <br />PLUMBING PERMIT APPLICATION <br />ot ProJuct: _Now _Addn _Alteralion _Ropalr <br />Show Number (N) ol (xturcs <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify that I have read and ezamined this application and know lhe same lo be Irue and correct. All provisions of laws and ordinances governing <br />this lype of work will be complied w'ith �whelher specified herein or not. Tha granting of a permit does nol presume lo give authority to viulale or cancel <br />ihe provision of any o�her state �rlocai iaw regulating construction or ihe pedormance of construction. That I am aulhorized by ihe owner of Ihis property <br />to periorm Ihe work forw�ich�applicalion is made �d��-emriply with Ihe Slale Contractors Lae� 18.27 RCW anC 296200 WAC <br />(Revised 2Q011J <br />