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PERMIT AP�'LICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SFRINKLER/D�Ei �OLITION <br />CITY OF EVERETT PERNlIT SERVICES � <br />3200 Cedar St., Everett, WA 9'201 - 425-257-8810 — FAX 425-257-8857 — www.evereUwa.drg � <br />APPLIC ��710N5 ARF: ACCEPTED FROM 8 AM TO 4 PM <br />_ . _ _ .. nCO\�IT M <br />��DRESS: <br />for new <br />�� <br />Short <br />swr <br />BUILDING PERMIT ARPLICATION <br />Existing Use of 8 <br />No._ (altach copy ol long Icgal descriplion) <br />sa.� ��1� y <br />nail /��. SZZ.%BY� <br />IIT 7G 0• � 2l. 78 Y0 <br />PRICE OF WORK <br />HEAT <br />Q3 <br />Proposed Use of Building –" — – -- — — <br />Building lype: _ Single Family _ Duplex Townhouse _ Mulli-Family Commercial <br />Type of project: _ New _ Addilion _ Remodel _ Repair ✓T.I. _ Sign _Sprinkler_�emolition_Change of Use <br />Descrip�ion af Work (addifional space provrded on fhe back): <br />you started workfng without a permit? _YES t%NO <br />MECHANICAL PERMIT APPLICATION <br />o(PraJoct: _Now_Addn _Alturation_Ropalr <br />air <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />o1ProJocl: _,New_,Addn _,Altoratlon_Ropair <br />Medicai Gas <br />Olher. <br />I hereby cerlify Ihat I have read and ezamined Ihis application and know Ihe same lo be Irue and cortect. All provisions of laws and ordfnances goveming <br />this type of work will be complied wilh whelher specified herein or nct. Tho granling o( a permit does not presume lo give authorily to violate or cancel <br />the provision of any other stale or Iacal law regulaling construction or Ihe peAormance ol construclion. Thal I am aulhorized by lhe owner ollhis property <br />to pedor e work for which applicallon is mado and I comply with Ihe State CoNraclors Lew 1827 RCW and 296.200 WAC <br />1. <br />�v 7�/7 !i <br />O norlAulhorizodAgontSlgnaWro Daie (Revised2/d011) <br />c, <br />3 <br />