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PERIl1iIT APPLICATIOM <br />BUiLDINGIMECHAi�11CAL/PLUMBINGISIGN/SPRINKLER/DEMO� i i ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />ApPLICAT10N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br />_______ . _i _. i oonocorvrnxn .. _ . ., .. _ . PERMITk <br />for <br />Use of <br />Shart <br />PERMIT APPLICATION <br />No._ (atlach copy ol long lee�al descrip(Ion) <br />Phone/E•mail <br />i <br />pRICE OF WORK <br />� V W <br />.11�4SL=K <br />HEAT 5< <br />�roposed Use of Buildings,Z��u(y � Gas ElectricX Other__ <br />iuildingtype:�SingleFamily _D lex_Townhouse _Multi-Family _,Commercial <br />'ype of project: _ New _Additior�emodelXRepair_T.I�Sign _Sprinkler�Demolition_Change of Use <br />)esc!ip�ion of Work (edtlitionel speco provided on fhe beck): � <br />GLPC�� �lc'c�v5;t'�C(Cf;';'(l,j���ILC�Yvrhr/1�)����. , <br />�u started working without a pertnit7 �YES _NO C�/Q/�'r(rnQ ('/� � V� � 9 f�tK r,�!(.. S�� f`� <br />MECFlANICAL PERMIT APPLIGATION <br />ofProJoct: _Now_Addn <br />of Heads <br />PLUMBING <br />of ProJoct: _Naw <br />APPL{CL\TION <br />o/�xtures <br />Medical Gas <br />Other. <br />I hereby certify that I I�avo read antl examined thls applica(lon and kno�v the same to be We and corzecl. All provisions of lavrs and ordlnances govemin9 <br />�his type f work will 6e complied wilh whelher specified herein or nol. Tha granling of a permi� does nol presumo lo give aulhority lo violate o� cancel <br />�he provl ion of any olher s e or local law regulaling conslruclion or Ihe perlormanco af construciion. That I am aulhorized 6y (he ovrner of lhis property <br />t ed (ha work for v mh p licalion is made and I ccmpty with the Stale Conlractors Lew 18.27 RCW and 298.200 WAC <br />nerlAutbotlmdA n g a ate � (Revised2l1011J <br />�1 <br />