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rERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNlSPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8E10 — FAX 425-257-8857 — wvuw.eve�eriwa.org <br />ApPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �_. ����� <br />for new conslruc�ion: ShoA <br />� M.�eH�e I S <br />l `" <br />F_ <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />1171- <br />Lal No._ (atlach copy af Iong legal descdpticn) <br />Phone/E-mail �-a s - �7 $ � � t� l � <br />Citv/5lete/Zio �..D.,ci� �NI'i �$C2c� � <br />L 8 I Lic. # <br />PRICE OF WORK <br />HEAT SOURCE: <br />PropOSOd U50 Of BUild'10g � �as ❑rcanc vuro�_ <br />Bui�ding type: �Single Family _ Di;olex _Townhouse _ Multi-Family _ Commerciai <br />Type of project: _ New _ Addition _ Remodel �Repair _ T.I. _ Sign _Sprinkier _Demolitlon_Change of Use <br />DeSCfipli0n of Work (addifional space provided on fhe back): �(� r C, �1 ��� <br />,F-�I; � �� � �'� `_ }{ .e �.1 �'�� I.- Yl� 1 l � <br />•r <br />c� +tS ,� <br />Have you started working without a permft7 _YES �,NO <br />MECHANICAL PERMIT APPLICATION <br />ofProJocl: _New_Addn _Alteratlon_Repair <br />Show Numbcr (#) ollixfurcs <br />AI[: — air handlina units <br />ol Heads <br />PLUMBING PERMIT APPLI <br />o1ProJeet: _Now_Addn _Alleratlon_Repair <br />ShowNumberlpl olllxfurea <br />O�her <br />I hereby cedify thal I have read and ezamineA Ihis application and know ihe same la be true and correct. All provisions of laws and ordinances goveming <br />Ihis lype of work will be complied wilh whelher specified heiein or oo�. The granling of a permit does not presume lo give authority to violale or cancei <br />Ihe provision of any olher slale or local law regulating construction or ihe pedormance of consiruction. Thal I am au�horized by �he ovmer of lhis propetty <br />to periorm Ihe work for which applickti is ma/�and I comply with the S�ala Conlractors Law 1827 RCW and 296.200 WAC <br />�'1 ��ti-r'��� %� ��'��-v 1- J 3-/ 1 <br />OwnorfAuthorized Aganl Signaturo Dalc (Revisad fY10f0) <br />