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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />:.ITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />. oonoscTvrevr _ . PERMITp <br />'1DRES5: /�/ <br />���� �r <br />lor new constmction. ShoM1 PI <br />t �I't✓� ��� ( <br />}M � <br />IACTOR - vI �'1 <br />13 71 l �'' )� <br />�� v;���^u i-0 1-v � f, <br />UILDING PERMIT APPLICATION <br />Use of Building <br />Lol No._ (attach copy ol <br />PhoneiE�mai1 7 C� " �-/ / d � <br />,%1RV_J�IJ l <br />mg legal tlescription) <br />)��( � <br />i � Q <br />1"'C � �— <br />— /�i, l� � l'J1 SlV ( + l•r„ <br />�Z� -�t"I K/�o 3 <br />PRICE OF WORK [!/�� <br />HEAT <br />�sed Use of Building I �as e���:����_ _ <br />ng type' _ Single Family _ Duplez _Townhouse _ Multi-Family _ Commercial <br />of {�rojec�: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />riplion ol WOrk (atlOdional spa:e provitled on fhe back) : <br />',a �a �(' Ccc�� ��l��ii C'�'l i� �=r.� �lNo Ev�c� s� ft->N e���o��, <br />UcwnN�f <br />you staKed working without a pem 't7 _YES �NO <br />MECHANICAL PERMIT <br />o1ProJect: _New_Addn _Alleralion_Repalr <br />Show Num6er (q) ol /iirtures <br />� !VC-airhandlingunits <br />I 1=orced air svslems <br />healer <br />Gas <br />pLUMBING <br />o1ProJect: _New_Addn _Altenlion_Repalr <br />Show Number (Ml olllrtures <br />drain <br />Other: <br />Gas <br />I hereby certily �nal I have read antl examined R�is appliwlion an0 hnow the same to be true anC correcl All provisions ol laws and ordinances goveming <br />tnis rype o�y+�oye wiil be complietl Mih whether specified hemin or not. TTe granling of a permit tic^s not presume to 8ive authority lo vioiate or wncel <br />tne pro�on o any ot�er siale or local law �epulating consWction or Ihe pertormance ol constnmlion. That I am authorizetl by the owner ol t�is property <br />to�orm 1� wnrK for �Mich pp6caGon is ma0e and I eomply with Ihe Staie CoNractors Law 18.27 RCW anC 296200 WAC <br />i <br />� � u��� I/l' ('"� 5 (�' ��i <br />rOwnc� dlhodzetl Agent Signature Uate (Revised7/PO711 <br />/� <br />