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i�ERi�`IIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CI i"Y OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, Wn 98201 - 425-257-8810 — FAX 425-257-6857 — www.everettwa.org <br />APPLIC7ITION9 ARE ACCEPTED FROM 8 AM TO 4 PM <br />:, �s �s,� sr, , <br />for ner. wnslrucllon: ShoA <br />ILDING PERMIT APPLICATION <br />o� <br />���. <br />7c�lcl zc L 1 I 2 0 —U <br />No._ _(allach copy ol loip lepal descrlptbn) <br />�� 1r�e• Zn6 -iil� Z73n <br />a���o.a j��'TI "' 9�S/ <br />z i3 Pho�re/Emeil y S. 3 Z <br />ONTACT FOR PERMIT <br />�onUE�meil <br />ONTRACT PRICE OF WORK <br />EzisOng Use o18ullding — - - <br />Proposed Use ot Buildinp Ga�_ Eleclric_ Other_ <br />Bullding typa: j� Single Family _ Duplex _Townhouse _ Multl-Femily _ Commercial <br />7ype ol pro�ecl: _ New _Addillon _ Remodel _ Repeir _ T.I. _ Sign _Sprinkle�emolilion_Chenga ol Uae <br />De9 Wlption ol WOiic (edJi(ionel a ace proNOed on Ihe 6eck) : <br />��.���k,/ �� iti��.��/ s/r�� -/�/je/�oX.:�-,,,r� 2o'x ls ' <br />elartaA working wlthoul a parrlt7 _YES _NO <br />PERMIT AP <br />o1ProJact: _Nrw_Addn _Alteretion_Rapelr <br />Show h'umAei (�J o/ fl+lures <br />��—� A/C _ nir hanAli. �.l �OIl9 <br />Heal <br />PLUMBIN6 PERMIT APPLICATION <br />o1Pro)ect: _New_Atldn _Allarellon_R�p�lr <br />Show Num6er MI o/ flrfumr <br />Roof drains <br />Medical Gaa <br />Olhor: <br />Othec <br />I hereby ceitlfy Ihal I have iead eM o.amined Ihle appiiulbn end know Ihe eame l0 6e irue end correcl. All arovisbm ol lavn ena onfinencef povemlip <br />Ihlf type ol xrork xill be compiied vnlh whelhm epecilod hereln or naL The prentlnp ol a pe�mA ticea not presume ta plve auUatlly �o vblete o� cancel <br />iha provlaion of any oNer tlate or lanl lan re0ulelinp contlmction ar the pedormence of conetructlon. That I em euthorlxed by Ihe owner af Ihb properry <br />lo peAorm Ne wy1k��P7lication i� mede end I compry wllh Ihe Slete Conlreclora Law 18.27 RCW ai� 289.Y00 WAC <br />� /L __ <br />1' � ' � L-� � — <br />O er orized Apanl Slgn�lure Dala fReWred7/TOIIJ <br />