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( <br />� <br />PERMIT i4PPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNlSPRINKLER/DEMOLITI�DN <br />CITY OF EVERETT PERMIT SERVICES `7�/ �� �� <br />3200 Cedar St., Everelt, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />ApPLICATIONS ARE ACCEPTE� �ROM 8 AM TO 4 PM <br />ADDRE55: _ � � L�. �� PROPERTYTAXN PE����d�J�O�d <br />K <br />� Lo� Na._ (allach copy of Iong Iegal descdption) <br />farnewconslruction: ShoAPlaUsu6division <br />n �, <br />�ti <br />,,G <br />LDING PERMIT APPLICATION <br />Existing Use of Building <br />& I LIc. # <br />�Q6L/ Phane/Email %(�. SZZ.%8i�� <br />ONTACT FOR PERMIT 7C 0, y 21, 7� y0 <br />Swr n <br />ionelE-mail �Gp�/r /'��Y�i,f SnCG/�y� <br />_� <br />ONTRACT PRICE OF WORK <br />HEATSOURCE <br />�sed Use of Building — <br />�g type: _ Singte Family _ Duplex _Townhouse _ Mulli-Family Commercial <br />o( project: _ New _ Addilion _ Remodel _ Repair ✓T.I. _ Sign _Sprinkler_Demolition_Change of Use <br />riplion of Work (addifional space provided on fhe back): ^ � / // �/ <br />� I � _ L /"/J / o t <br />�.1 i17]� /i��GC, U' 7���•� <br />V —' <br />you started working wilhout a pennft7 _YES 7�N0 <br />MECHANICAL PERMIT APPLICATIOM PLUMBING PERMIT APPLICATION <br />otProject; _Now_Addn _Alteratlon_Repair TypooiProJocL _Now_Addn _AlteraQon_Repalr <br />Show Num6er(N) o(/ixfures Show Number (NJ o/fixfures <br />.. i niC _ eir handlinn uni�S � TOIIBf <br />Medical Gas <br />Other: <br />� Number of Heads � """'' <br />I t�ereby ceAify Iha� I have read and ezamined this application and know Ihe same lo ha true and cotrecl. All provisions of laws and ordinances goveming <br />this rypo of work will be cort.plied with whelher specifed herein or noL The �ranling of a permit does nol presume lo give authonly lo viola;e or cancel <br />the provision of any olher slale or local law regulating conslrucllon or Iho performance of conslructian. Thal I am a�thorized by ihe owner of this property <br />�o pedor�ryt�'e work for whlch application is made and I comply �rilh the State CoNractors Lav� 18.27 RCW and 296.200 WAC <br />.f //� /!!�/ 7 /� ( <br />�— � 9 �ate (Revised 22071) <br />O nor Authorizud A ent SI naluro <br />c, <br />V <br />