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( <br />PERMIT APFLICATION <br />BUILDINCIMECHANICAUPLUMBINGISIGN/SPRINKLER/DEMOI ITION <br />CI7Y OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — Hww.everertt�wa.org / <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM l��i 3��I <br />(� /� PROPERTY TAX p <br />�� '�, w U h i��� Y� ��%�%� S, <br />for new cansiruction: Short <br />J <br />BUILDING PERMIT APPLICATION <br />(attach wpy ol lonp <br />P MIi2lJLLYG <br />desulption) <br />l, <[ I<� Vf I <br />76nV9 � <br />on renm� i.0 4vrM 1�lrinl <br />��s-as5-3a8� ,�6�,or;,���S�G�e. co� <br />PRICE OF WORK (i/00 -`—� <br />Exisling Use o/ Building �"t fiSi � J air.r ^`^' �"",•"`. <br />ProposedUseofBuiiding .$�4nrc _ Ges'� elecidc?� Other_ <br />Building lype: _ Single Femily _ Duplex Townhouse _ Multi-Famiiy %' Commercial <br />Type of projed: _ New _ Addition � Remodel _ Repair � T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Descrip�ion of Work (additionel space provide�d non fhe 6eck): !1 �1 ,/ Q��� <br />�Ft.ML iL(��J 4h� O N/��� �%L �l'd/NL ;tptce �N /QWPr C/00r' /�'L�' COrqF✓ D� <br />I7o /o�e� 6��.-i� «.a�-K o1 !v.'a//in �GLZ�M��L. -E.. �<p/�<e ¢xN�r'.f,(.ri�rnil <br />Have you sUrted work�ng wlthout a pertnit? _YES _NO <br />PERMIT APPLICATION <br />ofProject: _Naw_Addn _Alteratlon_Repair <br />Number o( Heads <br />APPLICATION <br />ofProJ�et: _Nsw_Addn _Albndon_R�p��r <br />Show Number (M) o/tlxturos <br />Medical Gas <br />Other: <br />I hereby ceAlry thel I have reed and examined this application and know lhe same to be lrue and cortect. All provislons of lews end ordinencet goveminp <br />this type of vrork will be mplied with whether specified herein or not. The granting ol e peimll does not presume to �'ve aulhoriry to vblete w uneel <br />the provision of any staM or locel lew reguleting conslructlon or Iha pertormence of construUlon. That I am aumodzert by the owner ottMs proparty <br />lo peAorm lhe wo whic�h wlion is made and I comply wilh the ate Contractcra Law 18.27 RCW end 298.200 WAC <br />/�.:�%'�-. G���/i <br />(Revised 27O71) I I � <br />