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�ERMIT <br />APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — t=AX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />���n ���� �vE i'Iv�p1^ <br />lor new construc�ian: Shon PlaVsubtlivisio <br />i �70�V��o�. ��L. <br />(o�C�� �✓y,�-G�'1c,�"�_ <br />nr.rna �,;I 1•VIO���U6i <br />(3 L�7�` ,�'l S� x���{'�� <br />T BUSINE� NAME <br />��� j-I���, '�,��. <br />DING PERMIT APPLICATION <br />� Use of Building _ � Z`7��e - ��` <br />U <br />No._ (attach <br />� <br />;LI -L�J <br />ol long legal descriptlon) <br />Cdyl5lalelLp (,�� V�✓ {�(.'j �•✓� <br />-> L 8 I Lic. # U �1 � �� �� '"� <br />�,d �v Phone/Email L`6 ) � �'/ / �yl /`� �J <br />CONTACT FOR PERMIT '��,� �.y p N 5� ��-1 n' <br />o��� -y ` V <br />r-.m��N 1��'�.� ��-f �I /.�l ll. —�7..: �J � J� s�� <br />PRICE OF WORK <br />HEA <br />�ioe. <br />Proposed U�e o` Duildmg �l ('�� �� � Gas E�ctuc_VS. Ou�er___ <br />8uildmg type�. Single Family _ Duplez Townhouse Multi-Family �-Commercial <br />Type of projecY _ New �Addition _ Remodel _ Repair _ T.L _ Sign _Sprinkler _Demolition_Change of Use l <br />Descnplion of Work (addihowl space provided on fhe back�: OL ��`� .� �,' ��, �(.,« � �,��� (d G�l/ SC (, 6��^ D <br />/� <br />�lac✓ O��' G!�"7c <br />Have you staAed working wilhout a pertnil? _YES �NO <br />MECHANICAL PERMIT APPLICATION <br />ol ProJoct: _Now _Addn �'- Altoratlon _Ropair <br />Show Number (M) ol /ixtures. ' <br />Number of <br />PLUMBING PERMIT APPLICATION <br />otPro�ect: _New_Addn �Altnraqo,n_Repalr <br />Medical Gas <br />Other: <br />I hereby certdy Ihal I liave read antl examined Ihrs applica6on anA know ihe s2me to De Ime and correct. All pmvisions of laws and ordinances goveming <br />this type ot work will be comptied wiih wtre�her specifieA herem or noL The granting of a pertnil does not presume to give authonly �o violate or cancel <br />the pmvison ol any other slale or lou�l law regula6ng wnsiructiun or ihe pedormance ol conslrudion. That I am authonzed by the owner ot ihis property <br />to pr.r m e work lor which apPllcalion is matle and 1 compq � h Ihe Stale CoNractors Law 1827 RCW and 2!�G200 WAC <br />� ��� �'� �---' ' 2� �� <br />wne Authorized Agont Signature Date (Revised 220t t) <br />��V <br />