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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SEftVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — w,n�w.everettwa/.org <br />APPLICATIONS ARE ACCEPTED FROM A AM TO 4 PM ��-p —�z' <br />ADDRESS: ���� N <br />taxn <br />for new wnstmction� Short PlaVsubdiwsion Lot No._ (attach copy of long legal Cescription) <br />�� i FhonelF�mad % � "�ji4" �J3C � <br />a tiJ �� n CJ <br />�5�c,v �:ati�C�� A.rE �� <br />�� D�� v� <br />JSINESS NAME <br />1.J S Dv � <br />r <br />� <br />Mri ��J'f�NRi.i :� <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building <br />L 8 1 Lir. � <br />��a�,�;��,a� h�b—Sio- �35�i <br />CONTACT F R PERMIT <br />t��arjzc-,-_ � .ir�Nn.�� <br />PhonelE-�nml �—J�—S��� v�C�c� <br />CONTRACT PRiCE OF WORK _ <br />HEATSOURCE�. <br />!_oc � Flarin,^. OIhE <br />�sed Use of Building — - — — <br />ing type� Single Pamily ,_ Duplex _Townhouse _ MWtrFamily / Commerual <br />of oroject _ New _ Addition _ Remodel _ Repair _ T I. _ Sign _Snrinkler _Demohhon_Change ol Use <br />ription of Wofk (�id�fmna� space promded on (he backl: <br />you started working without a permit? _YES _NO <br />MECHANICAL PERMIT APPIICATION <br />ofProjecC _New_AdAn _A��cralion_Repair <br />Show h'um6cr (#) o(!ix(ures <br />nT _ ol. handlinn uni�5 <br />PRINKLER <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />olProjecC �New ✓Addn _Allemtion_Repair <br />Show Numbcr (IX) o! fixtures _ <br />Medical Gas <br />otner. <br />Number ol Heads <br />I hereGg certrfy that I have reatl and eaammed this . pplicahon and know the same to be true and mrrect. All provisrons of laws and ord�nances govermng <br />th��s iype ol work vnll be complied wdh whether speaf�ed he�ein or not. The granting of a permi� does not p�esume to give authcrAy to violate or cancel <br />the p'ovision o( any Other SW:e o� ICcal law tegulaUng COnSIrUClion or lhe pedormance 01 ConSlru[lion. Tha( I am authon¢ed by Ihe oxner of ihi5 pmperty <br />to F�rlerm the {�:o�k Ier which �FPhcalion is matle and I comply �hih the State Contrecrors Law 70 27 RCW antl 296 20� WAC <br />� 1 . , yj�c� c�;���l�z <br />pi�` (Rewsetl 22017) <br />OwnedA �orized A9cnt Si9�»«i�c <br />