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. <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98207 - 425-257-8810 - FA?C 425-257-8857 - www.everethva/.p/r.�, <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ///�IG� <br />ADDRESS: � n —�PROPERTYTAXp ����� <br />fof neW con5lmttion: Short <br />;! <br />H�Y��,�-i, � N o i o <br />ILDING PERMIT APPLICATION <br />Existing Use of Building <br />(attach copy ol <br />PRICE OF WORK <br />HEAT <br />Proposed Use of Building � "a'— ""'""'— — <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler_Demolition_Change oi Use <br />Descriplion of Work (additional space providedon fhe back): <br />you started working wilhout a permit7 _YES _NO <br />MECHANICAL PERMIT <br />ofPro�ect: _Now_Addn _Alleratlon_Repair <br />0+ <br />l: <br />heater <br />of Heads <br />PLUMBING PERMIT APPLICATION <br />of ProJecl: _New_Addn _Alteration_Ropair <br />I Medical Gas <br />l I Other: x_� <br />Other: <br />I h�re6y ceiLfy that I have read and e mined this application and know the same to he We and coRect. All pmvisions ol laws and ordinances goveming <br />this type 1�vo�k riill be nplied �vitl � helher spedfed herein or noL The granting o� . pemiit does nol presume to give authority to violate or cancel <br />❑m pm isio ol any o� •r lale or lo al larv regulating conslrudion or Ihe pedormanoi ol constmction. That I am aulhodzeE by Ihe awner ol ihis property <br />lo perto m Ih worfe for vl ch applica i n is made and I comply with the State Coniractors Law 1827 RCVi' and 296.200 WAC <br />�� . _.� __.+ 6 � 5 ' i � <br />OwncrlAWhodzed Agenl Signature Dale (ReNsed?l1071) <br />