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PERMIT APPLICATION <br />BUILDIN�lMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY 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 />nnnovco _ PROPERiYTA%p � � _ _ . _ . PAE/1 I / �iin - f'1� <br />ALfornewconstruclion: ShortPlaUsuhOivision <br />7ER / �/� U f-% OA <br />�ss �Zi I'i 2���J�Y. N% — <br />TRACTOR/���V�ULtQ MCc=H. Nv <br />�ss/5f2oF( 2't.c�A�F cr. E. t <br />ANT BUSINESS NAME <br />2ACvn.� %A���E <br />ILDING PERMIT APPLICATION <br />.ing Use of Building <br />No._ (attach coPY ollc <br />u i/•Z.S - 3'/'l - <br />o /�r�rnti-v+'� <br />3lcgal descnption) <br />SZ 6� <br />W/) 4 S� �L �2 <br />L&ILic.# IJV L� <br />(� LVh PhonGEma�l l'� .S- ZvJ �%3 <br />O CONTACT FOR PERMIT <br />PncnelE�mail �/ Z.7 ' Z.� l� -� 3%� <br />GONTRACT PRICE OF WORIC�3 2�0 a v <br />ised Use of Building -- -- — - <br />ng type: _ Single Family _ Dupiex ,_Townhouse ,_ Multl-Family _ Commercial <br />ofprojecl: _New _Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change olUse <br />ription of Work (addifional spare provided on Ihe back) : . <br />rao�� Un�1 � <br />you started working without a permll7 _YES �NO <br />PE RM IT <br />of Pro)ect: _New _Atltln <br />lan <br />71 <br />�LICATION <br />_Repalr <br />PLUMBING PERMIT APPLICATION <br />ofProJeck _,New_Addn _Alleratlon_Repalr <br />ctinw Numbe!!MI DI ll.rturcs <br />RooF drains <br />Medical Ga�, <br />Othec <br />I hereby cetliy Ihat I havo read and examined Ihls application and know Ihe sama to 6e We and cortecL All provisions ol la�vs and ortlinances govercbg <br />Ihis y�pe ol work will be wmplied ��Ih whelher specifed herein or not. The granting ol a permit dees not presume to give authorily to violate o� cancel <br />Ihe piovision ol anV other stale or local law regulating mnsiruc�ion or I�e pedormance ol construction. That 1 am authorized by Iha mvner of Ihis property <br />to peAorm wod IX�shich upplication is made and I comp wlih he State Coniractors la�v 1B 27 RCW antl 296100 WAC <br />1 / <br />�'� ..-��/% • � <br />OwficdAulhotlzed Agent SlgnTure ale (Revised7/2011) <br />�1 v <br />