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PERMIT APPLICATIOH <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — F.4X 425-257-8857 — www.everettwa.org /�I Z <br />ADDRESS: <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROPERTY TAX tl <br />— J <br />for new conslruction: Short PlaVsubdivision Lot No,_ (altach copy of long legal descriplion) <br />ING PERIVIIT APPLICATION <br />Use of Building _ <br />L & I Lic. # ��(.[L_ <br />; � Phoi �/Email �1�5�ySl-71v�o� <br />CONTACT FOR P c- j�:MyIT <br />�.SS��C� KWl/7 <br />PhonefG�mail �2�, •�.�$�" 1r0 /i�S�?�rQ�.�.��� <br />CONTRACT PRICE OF �.v3K'�SCX� � <br />HEATSOURCE: <br />Gas Electric_ Olher_ <br />�sed Use of 6uilding <br />ng type: Singie Family _ Uuplex,_Townhouse _ Mulii� Family � Commercial <br />of projecl _ New _ Addition _ Remodel _ Repair � T.I. _ Sign ,�{,Sprinkler _Demolition_Change of Use <br />DeScription of Work (addiyonal space provided on 1he back): <br />f�� C �� h2G1U <br />Rz��co.�e. �2� 1�eo�.s <br />Havc you started working wilhoul a permit7 _YES �NO <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New_Addn _Alteratlon _Repalr <br />Sbow Nunrber la) o! /ixtures _ <br />SPRINKLER / SUPPR <br />of Heads <br />PLUMBING PERMIT APPLICATION <br />ot Project _,New _Addn _Alleratfon _Ropalr <br />ShowNumber(ql ollixtures <br />ink <br />Medical Gas <br />Other. <br />Othec <br />I hereby cetlify Ihat I have read and examined Ihis applicalion a�id kno�v the same to Ce hue and w«ect. All provisions of laws and ordinances goveming <br />tnis type ol work wiil be complied with whelher specified herein or noL The granting ol a pemiit does not presume to give authority to violate or cancel <br />me prov�sion of any olher slate or local law regulaling conslruction or Ihe pedomiance of consiruction. That I am aulhorized by Ihe ov:ner ol this properry <br />to per the �vork lor �vhich �l licalion is made anA I comply with the State Contrecbrs Law 1827 RCW and 296200 WAC <br />� 2 <br />�Ow edAulhorizedAc�enCSignaturo <br />Dale (Remsad 2207 ') <br />