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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGI�ISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.ever�N�a2Z�// <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br />fornewconslruction: Short <br />0 <br />`ri1 e �V��" V� I 11 �G <br />BUILDING PERMIT APPLICATION <br />PhonelE-mail <br />�� <br />�I� O�0a0o 1�6�b7 ' � zZ <br />_(allach copy of long legal descriplion) <br />25 ' 3 � ��8� <br />TiV W� � � <br />;ORN�' G q J <br />PhonelEmail yGf ��IQ I � ��� <br />ORPERMIT'�J'� � �n )uH�nnai�c� aikS• <br />'� '�0�5 y <br />ve co t� c ci.[n <br />PRICE OF WORK 8 LI ✓D , Dali . <br />Exisling Use of Building — <br />Proposed Use of Buildinq � Gas_ Eiectric_ Other <br />Buildinglype: _SingleFamily _Duplex_Townhouse _Mulli•Family �Commercial <br />Typeofproject: _New _Addilion �Remodel _Repair_T.I._Sign_Sprinkler_Demolilion_Change ofUse <br />DeScriptionofWork(addifionalspaceprovidedonfhabackJ: � <br />� � <br />you started working without a pertnit7 _YES �NO <br />MECHANICAL PERMIT APPLICATION <br />of Projecl: _New_Addn _Alteration_Repalr <br />SPRI <br />PLUMBING PERMIT APPLICATION <br />otProject: _New_Addn _Alteretlon_Repatr <br />Show Numberll!) o/�xtures <br />Medical Gas <br />Olher: <br />I Number of Heads I I i 111e'. _ <br />I herehy certily Ihat I have read and examined Ihis application and kna.v the same to be We anC correcL NI provisions of lavrs and oMinances qoverning <br />this lype of vrork will be complied vnth whether specified herein or nol The granting ot a permit does nct presume to give authority to violale or cancel <br />the provis�iofn of any other state or local law regulaling consWction or the pedormance of wnsUuction. That I am aulhodzed by Ihe ovmer of Ihis property <br />lo oertor3pih�ygr�ich appliwtion is made and I comply wilh the State Contractors Law 1827 RCW and 296.200 WAC <br />� i� � � � <br />D ne o Agent Slgnature ate (Revised 22017) <br />�j� <br />