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<br />P�RINIIT APPL.iC�1T10N
<br />BUILDINC/AI[�CHANtCAL/PLUMBlNGlS#GNISPRINKI��RlDEMO�ITIQN
<br />CITY OF EVERETT �'ERMIT SERVIC�S
<br />3200 Cedar St., �verett, WA 98201 425-257-$810 �AX 425-257-$85? www,everettwa.org
<br />APi'UCATfONS ARE ACC�PTED �ROM 8 AM TO 4 PiHI
<br />4DDRE8S: PHOP�RTY T'A7( q P 1'C �
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<br />L ior new cqnsiruCtipn; ShUfl Plat/subdivlsion L.Pt No, (�13f:uCf1 CUpy bf long legal des,�;�ipltc�n)
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<br />QNTRACT Pf2iCE QF WORK
<br />Exlsting UsEs ot {3,�ilding j�.�.Q`;�\�Y1�„],,._, �,�[��
<br />Proposeci Use of �iuild�ng��„�j IC�� c�L� ��.,
<br />Buiiding Eyp@: „�Ingle Hamily ,�„_ bupisx _Townhause „_,,,,,, Multi•�amily
<br />rYPe ot pra�esc�: �rsw Ac�dition ._ ap ' 1, �
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<br />Fqrc�d air sYston
<br />Gas �kPin
<br />WBt�r heafef
<br />Gas flre 31a� t;d
<br />GA3 fAtlq@
<br />Cluth�s dryer
<br />Range hood
<br />�xhaustf�n
<br />#�lesa�ump
<br />41nit hQptor
<br />�ailEtr
<br />R�fslgeration
<br />1Noodskove
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<br />�7crcting
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<br />Nt3mbRr of HeAds
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<br />PL,r,tM�11N6 P�RMti APPLICATiON
<br />TYPe o# Pro#ect: .._..,,,NQw _....Addn ..�.., Altarbfion _�tePalr
<br />Shaw Nurttber {#1 v! Rxtures
<br />Kitchon
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<br />Crease
<br />Medicai Gas
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<br />I hnrobv aRrvry thM I hava read enu ex�inin�� Ihis nppecqtlon And know Utiu game lo bn vue pr�d ussracf. N� pr�vlabnG ot lnwa Gt�d vrc4irwncae goverr�Yig tlMs lypn pf ��rk wiY b�a complfed
<br />wlth whc r spocl�csa hore;n or nol. Tt�e {�t itirtp of a pArmEt doea nai p�egun�� IU p+ve t1u211tNity to vbEsao ar cancxl tha provlsiors o[ s+r�y ptnnr stala or iocral Inw regi�latirtg conetructlon
<br />ihat i �,lt�niu,ad Ay the �er ot tnis p etty �o peHorm �t,fl wecxfi fpr which apDllcixtlon 1e rr�aele antl � coYn�ly with tlu+ Stato Conb2ctorn L.aw 18.27 �tGW end 29�.200A Wb,C.
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<br />Ow �rlAutharl�ed Age Slgn�ture ----��a�--f�-^L CJate (Re�vis�Q er24t 2)
<br />TO'd
<br />Xi�3 .L�P2i�S�d'I dH I�Id8b �60 bTA£T/ZO
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