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PERMIT APPLICATION <br />BI IILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425.257.8810 — FAX 425 157-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM l i " Z <br />PKvrrn I TA%M I P MIT IL r, { <br />for new construction Short PlaVsubdivlslon Lot No. (attach copy of longlegaldescription) <br />Plane/E-mail <br />Ceps i f1 City/State/Zip I' e• �i w Q <br />IS L 8 1 Lic, p <br />!ACTOR _ _ _ _ �� r-?non�.t,.._..-r c.•_f,��7 �.(7�-k81'�i20 <br />o n..nn!nmeil <br />NO PERMIT APPLICATION <br />Use of Building <br />' PRICE OF WORK <br />Proposed Use of Building <br />Building type: V Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demol8lon change of Use <br />Description of Work (additional space provided on the back): <br />'-v n a C'e C1�c,►�c� ov-}- l L t \c - -F>_., r L <br />Have you started working without a permit? _YES _NO PERMIT APPLICATION <br />---� t'��......... v. <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New_Addn ✓Altorallon_Ropalr <br />of Project: _Now _Addn _Altorallon _ Repair <br />Other: <br />l provisions <br />laws <br />t hereby certify work <br />that 1 have rued and ihvwhe�hed shpecified herein of not. The granting of a plication and know the some to be (ru <br />permit does not presume to givefauthority l0 violate o,nancel governing <br />IM1Ia tyP (work wAl�e.con'rty <br />the is of any other state orlicatlon re raede alnd t complyng construction <br />the Stets Contra <br />Law 19 2217 RCWa and 29e.200 WAC the owner of this props <br />to erp he wo for wh cif 0� <br />_ (Revised 2/2011) <br />Owner/Authorized Agent Signature <br />ate <br />