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SITE <br />PFFtMIT APPLICATION <br />BUILDINGIMEi:HANICALIPLUMBINGISIGN/SPRINKLER/pEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everetl, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwca�.or ��`// <br />APPLICATIONS ARE ACC[PTED FROM 8 AM TO 4 PM / <br />__..�..,.. PROPERNTAXtt PfijtMlT# � ��. <br />jt <br />� <br />fornewconstruclion: Shoh <br />Si. <br />L 8 I Lic. <br />BUILDING PERMIT APPLICATION <br />Use of BuilJing <br />No._ (attach copy of long legal tlescription) <br />pRICE OF WORK <br />Proposed Use of Building — -"-*— — <br />Building type: _ Single Famiry _ Duplex._Townhouse _ Muiti-Family _ Commercial <br />Type of project: _ New _ Addition � Remodel _ Repair _ T.I. __ Sign _Sprinkler _Demolition_CIhange of Use <br />�c�[(.'f Cui1Siti�U� Y�'Vh(:ACti�c't��Ul'l�� <br />Descriplion o( Work (addition1al spaco provided or, the back): �� 7�'IC r' � 1 <br />r't-��.-��..t�;ecw e'h`�..� �� �'�1��te. ei�s�ic.�d l3ear�:..n.Als��rrv.,��z���� t� �'�%��e- ��i,'E� <br />lv�i'� c. ntw-va�rt �� 5�c,ww i-�%c ia�c� -�i�� �K 4�-�.�iw.�. Al�/a%,...����, i,.,.l� s�y �� c„ii�.� <br />Have you started working wilhout a permil7 _YES �NO �� �`"+� °L2 5• v✓'e f V <br />MECHANICi4L PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />of ProJect: _New_Addn Itcratlon _Repair <br />Show Number (N) I /ixfures <br />ISU <br />oiProJeet: _Now_Addn _Alleration_Ropair <br />Show Num6a�!#) ol /ixtwes _ . <br />Medical Gas <br />Other: <br />II Number of H ads I I � "`"�'. _--- <br />I hereby certify thal I have read antl examined Ihis applicalion and know Ihe same to be tme and correcl. AII provisions of laws and ordinances goveming <br />this lype of �vork will be comnlied with e�hether specified herein or noL The grantin� of a permit does nol presume to give authority lo violate or cancel <br />the pmvision of any other state or local law reyulating censtruclien or the pedonnance ot conslruction. That I am authorized by the owner ol this property <br />to pedo m Ihe vrork for which application is made and I comply �vith Ihe State Contractors Law 1827 RCW and 296200 VlAC <br />� � ��..;� - /� �-�....._._ 9//Z-� / <br />/OwnorlAu �arized Agenl Si� nature �e (Revised 22017J <br />I/� <br />