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PERMIT APPLICATION <br />BUILQING/MECHANICALIPLUMBINGISI�N/SPRINKLERIDEMOLITlON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Sl., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 Ah5 TO 4 PM 2 a.�`(� <br />ADDRESS: PROGERTYTN:N PERMITq <br />-�s<�c- E�,,,..�.�-oo,,, ���n,n �eA1 280507003(Ya ///� l/J <br />lornewcon5�mclion ShOrt <br />z3lo - <br />BUILDING PERMIT APPLICATION <br />2a2 <br />Lol No _ (allach copy ol long Icgal Oescnption) <br />ie/E�mail `i�•s� ZU�I' LZ/O <br />Statc/ZiP 1�'�.' ��',V�i�.� V";7� _r Ul0-1 <br />� �,� # c�vrs5i10 P/U <br />Phone/[mad u�5 775 — RyDU <br />YTACT FOR PERMIT <br />�'i ��� �i(.til f r;,�25� (n 7n -�07d r0 <br />nelE mail <br />PRICE OF WORK <br />Use of Building 1� � HEAT <br />�sed Use of Bmlding � � Gas_ Electnc_ Olher_ <br />ng type�.�Single Family _ Duplez _Townhouse Multi-Family � Commercial <br />of pro�ecl�. _ New _ Addition _ Remodel _ Repair � T I. _ Sign _Sprinkler _�emolilion_Change o( Use <br />nplionofWo�k(atltl�6onalspaceprovitledonlheback�: Y'flT1U�iS U�OYj Q,IiG <br />'eS�lq�i'1'�- -tV✓���V`Pn'✓tA�yl{ '�O ��'1G�1JC'� �l% 1✓1�'G1�IOY � i <br />� ) vt.P.u.� Yf.� i �eS <br />you staAed working wiUiout a pemiit? _YES �NO <br />MECHANICRL PERMIT APPLICATION <br />_New_Atltln _Alteration_Repair <br />Show Numberla) o/!x(ures <br />SPRINKLER <br />Heads <br />ON SYSTEM <br />PLUM6IiJG PERMIT APPLICATION <br />ProjecC _New _Addn _Allcra!ian _Repair <br />\ Show Numbcrlp) ol /ixfures <br />Medical Gas <br />Oiher. <br />Other. <br />1 nere0y ce�Lty I�al I have read and examined Ihis applica6on and know Ihe saroe lo be Irue antl correcl NI provmons ol lav� and ordmances govermng <br />IhiS �ype o� work vnll be complied wilh wnelher SpecilieA herein or nnt The g�anl�ng ol � pe�mtl tloe�. nol presume lo grve aui�only lo vi0lalC or G�nu;l <br />Ihe provi;�on u� any other;lale or local law regulahnq constmthon or Ihe pertorrnance ol conslruchon That I am 2ulhonmd by �Oe Ovmer ol Ui6 pmpetly <br />�� p�dor Ihr, vr�rk lo� �� mh appi¢alion is madc nnA I camply vnlh Ihq $lalc Conl iclors law 1827 RCW �ntl 296 700 WAC <br />OwnedAu onzed A9ent Si, ature /� /�'It��/ (Rewsed 7R017) <br />