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P'ERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPF2INKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — vwvw.everettwa.org <br />qPPLICATIONS AR[ ACCEPTED FROM 8 AM TO 4 PM 6—� �- J <br />)DRESS: PROPERTVTA%p PERMIT• <br />�la.'� 33 s'�' PL. I�(��oa <br />for new conslruclion: Shoh PlaVsubdivision Lol No._ (allach wpy of long legal description) <br />t i� %!� t i�, vl U� k n, : r H Ir`4�F%1 �I 0� Phone/E-mail <br />r�a3 <br />� <br />SL <br />&ILic.# <br />� <br />C�7 <br />BUILDING PERMIT APPLICATION CON7RAC7 PRICE OF WORK <br />Existing Use of Building ��r•"� �� i�/�� HEAT SOURCE: <br />Proposed Use o( Building Gas_ Electric_ Other_ <br />Building rype: ,�Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial : <br />Type of project: _ New _ Addition _ Remodel _ Repair_ T.I. _ Sign _Sprinkler�Demolitir,n_Change of Use <br />Description of Work (addifional space provided on fhe back): u(�'�I V,� � Q u� ��!r.`� �� � v S�� <br />� � 1—I ..1:: � v�cl.(��—. ►�ecj , <br />'C�-� -e� t� l "v�.tn�� <br />Have you started working wfthoutta pertnit7 _VES _NO <br />MECHANICAL i�ERMIT APPLICATION � <br />ofPro�nct: _Now_Addn _Altorotlon_Repalr <br />SPRINKLER <br />Numberofiieads <br />SYSTEM <br />PLUMBING PERMIT hPPLI �ATION <br />oiFroJect: _New_Addn _Alteretion_iapair <br />Medical Gas <br />Other: <br />Olher: <br />I heieby certify Inal I have read and examined this application and know the same to be Irue and conect. All provisions of laws antl ordinances goveminp <br />this rype ol �vorh will be complied �viUi whelher specifed herein or nuL Tho �ranting of a permil does not presume lo give authority lu violale or cancel <br />Ihe provision of any olher slale or local law regulating conslruction or Ihe perlormance of conslruction. Thal I am authodzed 6y Ihe ewner of Ihis property <br />lo pedorm the work lor which.application is ade an I comply �yith the $late Contractors Law 1827 RCW and 296200 WAC <br />// / <br />�i/// L(LC/� •G^/ _ �� /�l •— � � � ( , <br />L <br />OwnnrlAulhodzodAgontSignature ` Date (Revised2/2077) <br />\�"Y <br />