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r <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES $��`d-� �/ <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.evere�/ttwa.ot�rg—� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM t•�\ � v Y-- OC <br />ADDRESS: 7600 Evergreen WdY PROPENTYTAXp PERMITp^ ��__ <br />�f1050700300200 e��e—�- <br />lor new wnstruction: Short <br />. Everett Clinic <br />3901 Aoyt Ave <br />,T�o Cosco Fire Protection <br />The Everett Clinic <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />L81 <br />No._ (atlach wpy ol long legal tlescnption� <br />Everett, Wa 98201 <br />COSCOFP110NM <br />425-686-6300 <br />425-686-6321 ) Tallan@coscofire.com <br />�/E-mail <br />TRACT PRICEOF WORK 34, 050. 00 <br />Proposed Use of Building i — - — '— <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: _ New _ Addilion _ Remodel _ Repair _ T.I. _ Sign XSprinkler _Demolition_Change of Use <br />Desaiption of Wo�k (atldifional space providetl on (he back) : <br />INCLuDtcs FM-?� itil• ��.'f�.�/�CjZ �''iIDfITi�G�T�.G <br />Have you started working wilhout a permiq _YES X NO <br />MECHANICAL PERMIT APPLICATION <br />ol PraJect: _New_Addn _Altera�ion _Repalr <br />Show Number (a) ol flrfwes _ <br />/ <br />� <br />of Heads <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />of ProJect: _New_Addn _Alteration_Repalr <br />Show Number !Nl o/ /4Yu�e5 <br />Medical Gas <br />Other. <br />Other: <br />1 hereby certity that I �ave read and eaamineC this appliwtion and know the same to be We and correct. All pmvisions ol laws and ordinances goveming <br />this rype of work will 6e wmplied vnth whetl,er speci�ed herein or noi. The granting of a permit Coes not presume to give authonty to violale or cancel <br />Ihe provis�on ol any other state or local law regulating construction or the pertortnance of consUuction. That I am authorizetl Oy the owner o� this properry <br />to peAorm the w9rk lor which application is matle and I comply wilh the Stale Contreclors Law 1827 RCW antl 296200 WAC <br />� <br />_��^—�� <br />uthorizetl Agent Signature �ate <br />(Revisetl 2/20/7) <br />� �Z <br />