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�, <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES �� a I //� <br />3200 Cedar St., Everelt, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.or,y <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�L for new conslmclion: Short PI <br />ER � KC �� �i <br />SS 3 go I N� <br />fRACTOR u,� � � � � <br />55 � ( (L l 1 4�1�'� <br />�NT BUSINESS NAME <br />T\� �� S�� <br />�� C�ClNIC- <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building,s 'l"1 � <br />TAX fl <br />8 I Lic. t� <br />0 <br />No._ (attach eopy ol long legal descnplion) <br />20U <br />PRICE OF WORK <br />) `7gco •oS^� S <br />Zo�) 2 n -03� S <br />Proposed Use o( Building � A�— � � Gas_ Eleclriv� omer_ <br />8uilding type: _ Single Family _ Dupiex _Townhouse _ Mulli-Family �Commercial <br />Type of project: _, New _ Addilion _ Remodel _ Repair�T.l. _ Sign _Sprinkler_Demolilion_Change of Use <br />DescriplionofWork�addifionalspaceprovidedonfhebeck): '�S�AL � ��� �eO�r- COQ(_�/t�Gs�S��' <br />v►�A K� u� �iJ,a r�r� •(`�AT� CFn� ��►'� <br />you staRed worktng wlthout a permit7 _YES ,SNO <br />MECHANICAL PERMIT APPLICATION <br />otProJoct: _Now_AJdn _,Altoralion_Ropair <br />Show Number (#) o/ (xturos <br />nK: _ air handlina uni�s <br />/ <br />PLUMBING PERMIT APPLICATION <br />otProJocl: _Now_Addn _Altnration_Ropalr <br />Show N�m6erlq) o/�zfures <br />sink 8 <br />Medical Gas <br />Other. <br />Other: <br />I hereby certify Ihal I have i��d and examined this applicallon and know the sama to bo Irue and cortecl. All provisions of laws and ordinances goveming <br />this typo of work will he complied wilh whelher specifed herein or not. Tho granting of e permil tloes not presume lo giva authonly fo violato or cancel <br />ihe provision f any olher slale r local Iew gulaling conslruction or lhe peAormanca of construclion. That I am aulhorized 6y tb_ ovmer of lhis praperty <br />lo peAorm Ih w I r w ich Iication (s de and 1 comply wilh Iho Stale Conlraclors Law 10.27 RCW and 296.200 WAC <br />OwnorlAu or �4�jautSignaturu Dale (Revised2l2011� <br />� <br />