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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EtiERETT PERMIT SERVICES <br />32D0 Cedar St., Everett, WA 98201 - 425-257-8610 - FAX 425-257-8857 - vr,w�.ev rethr+aorg <br />APPUCATIONS ARE ACCF?TED fROM B AM TO 4 PM ��- a3 -�-3 <br />ADDRESS: _ _ _ � . . f _ PROPERTY TAX p P�Rh11T # , <br />fcr nc++Con;INcbon� Snoh <br />i��� a <br />�a'i of �e�e-if� <br />BU/LDING PERMIT APPLICATION <br />Exishr,g Use af Bwldmg LK <br />lDOSetl Usf Of BUIItlir <br />t10 _ (dltaz0 cop/ ol lonq �c9al descnp�icn� <br />[. O J <br />�RPeRmirG�FY10/1'�SDn� In5 <br />C'� ndY 71,o n�s oh <br />PRICE OF WORK �j��p(L� <br />HEATSOURCE <br />ng type. _ Single Famity _ Duple■ _Townhouse _ PAWti-Famiiy Commerci3l <br />cf pro�ect _ New _ Addihon _ Remodel _ Repair _ T I Si�n Spnnkier _Demolitmn_Change ol Use <br />'iplion of Work (adtla�or,,;i space prov�cetl en tne Cack1 : <br />S� �I�I�IONf�i. ������ <br />you started working without a permit7 _'y�j, <br />MECHANII:AL PERMIT APPLICATION <br />al Pro�ecL _New _Addn _Alleration _Repalr <br />Show Nurnbc� �p) ollirfures <br />A/C — air handlinq unds <br />Forcetl air svslems <br />heater <br />Number ol Heads <br />PLUMBING PERMIT APPLICATION <br />al Project: _New _Ad;ln _Alleratlon _ Repair <br />washcr <br />Medical Gas <br />Otncr <br />I here0y ceniFy t�al I �ave �eaa ana B�ammed �h�s applicalion ane know Ihe same Io �? Ime an� correce. Atl prov�sions of larvs an0 ortl�nances 9ovem�nq <br />Inls ry0" o� w�ork wAI be ccmD��ed wdh w�elner speaGed herem or not Tne griniing o� a Oermtl Eoe, nol presume l0 9rve aWnonly to violale o� cancel <br />Ihe provision ol any oNer ,IaIC or lowl law reguiating conslmction or t�e pe�ormance ol conslmclion That I am aulhenzea by t�e o::ner o� Uus p�ope�ly <br />Io pedo�m Ihe work for vrhich upplicali�n is maae antl I comply with t�e S�ate Confractors La'.v 78.2i RGW antl 296 700 WFlC <br />C�`'1�i,vv�o�J �f S'� I � . <br />OwnCrlAullt�rJietl Agen[ Signalure p�le (Rensetl 2/201 p <br />�� <br />� /� <br />