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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGNlSPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />320G Cedar St ,[vereU, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www ever3lwa�r� ` I 1 <br />APpLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7A%p <br />0 <br />JIICHUURCJ�: - � ! ' V `✓ � <br />j.� % j I�� i 1 <br />LEGALIornc�vcr�nsliuclion� ShoitPlaVsubdrvision________._ _ _ ____ <br />t ol No __ (auach copy ol long legal descnption) <br />OWNER <br />' ��ni�t-c_ �, �- ��c�, <br />ILDING PERMIT APPLICATION <br />�IE-mail �j � 7 7 3 3 S <br />—i <br />Slale2ip �_ �/��. 1� L- 1� <br />I Lic # <br />PhonelEmml <br />VTACT FOR PERMIT <br />�NL moil <br />VTRACT PRICE OF WORK _ <br />, � ,, � r+r:nrsouRce <br />Gz�shny Use ol 8wldmg �j����,._j_��_)7�J_(,.S/ <br />Proposed Use af �wlding_ Iv �-' ��� �'�� ''1i-- Gas Electri�_ Other_ <br />Ciu�lding type�. Single Family _ Duplex _Townhouse �^bAWli-Fam�ly _ Commercial <br />Type ol prc�ect __ New _ Addition _ Remodel __ Repair __ T I_ Sign _Sprmkler l�Demohtion_Change of �� <br />�CSCf�pI10110�W01itl;�r1.;' 9'sl�:i[n����.�. rdo�i:�'PhOci-i �.�!: . �"�•(�J::t. 1. �:� <br />you started workin� withoul a pennil9 __ _YES ._NO <br />MECHANICAL PERMIT APPLICATION <br />ol Pw�acl: _Now _AAdn _Altoration _Rupalr <br />Show Nmnber (a) ol L.(ures <br />I ArC - nrt handlinn �inits <br />�� ��n,�i <br />INKLERISU <br />u�����n� �,� u��:ufs <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />7ypo 01 ProJect: _Now _Addn _ Al�orallon _Rapelr <br />Show Number (MJ al lisfuros <br />� imle� <br />Med�cal Gas <br />Other. <br />other. <br />�,��•by certdy that I have �ead nnA eranuneJ Ihis applicnhon and know thu same lo be Ime and correcl All pwv�sions ol laws end oNinances govemm9 <br />t.!y�;<• ol wo�h will be complied wtlh whelher specified herein or nol Tho Brnnling ol a permll does nol p�esume lo givo auihonly lo violale ur cm�cel <br />�� �� novision ol any olher stato or leral law regulating constmc�ion ar Ihn peAormanco ol consVuclion. Thal I am nNhorized by �he owner ol �his p�oVrrty <br />�, p•��iann Ihe wo�k lor which app�iwlion is mado and I comply wtlh Ihe Slale Conlroclors Lnw 10 27 RCW ond 296 200 WAC <br />� � � <br />� �� I� � <br />i ;.i I �( �,i_ i��=- --- ' ir'e:�s�a; :�o�i� <br />Ou�ncriAitlhorizad Agenl 519nal�.vo i `.ib� <br />