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PERMIT APPLICATION <br />BUILDING ! M�CHANICAL 1 PLUMBING i SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMR SERVICES <br />3204 CEDAF2 S7REET, EVERETT, WA 98201 <br />�� ��� (P) 425-257-8810 � FAX 425-257-8857 �(E) overottops�evereltwa.gov � w�,wv.everottwa.gov/permits <br />- . <br />(Blue�or:Black.Mnk'On1y,Please) ` '.,:`PROJQCT.$1TE,INF.ARMATION .. . : <br />PROJECT SITE ADQRESS: 6301 SF)tFl AV@f1U6 W, Everett, WA 9$203 PROPERTY TAX #: <br />IEGAL for new oonsUuction: Shori PlaUsubdlvislon Lot No.J (attach copy of bng legal description) <br />Use of <br />ract Price of Wor1c: $ (a. <br />Sourco: ❑Gas ❑Electric <br />ng Type: C7SFR-Detached ❑SFR-Attached� ❑Duplex C1Multi-Family-# of Unfts: <br />of Project ❑New OAdditlon ORemodel ❑Repair �7'.I. ❑Sign ❑Sprinkier [aDemoll� <br />:RIPTION OF WORK: �1C�+� ��l` � �``� 1��,�`��� <br />� <br />�-,� ���- s� �c����� <br />♦f�1l1TCt1 [f1111 f111.1/� �1Crfl1llT M ltl......II....L.I.�\. � �i �� � <br />❑Ind� <br />af Use <br />hi�s � 9c�,,��Qrs� <br />ACKNOWLEDG�MENT.' 1 have revlewed lhis appiicetion und confirmlho inlamalkn caontalned herein ts bue end cor2�ct Work done pursuent lo fMs penritmusf aompy wdh <br />arrrent federa4 sla�e, end bcaf faw. The gr Nng ol a permN only aulha¢es approaed work and no devraaons therehom. Devlatbns must brsf be aulhorized in writing fran the <br />Butklfng Olfidal � being euthr�'¢r��e}r any �nce. f am the owner, or 1 am aulhahed by the amer o! fhls property to pertam the xrorlr for whkh appAcalla� Is matle, <br />andlcomply�th SfateConl Law1&27 end28G200AWA� <br />ply ol �varalt OAkiaf Usa Only <br />PERMIT # %� d <br />��J 1 �` �� �"'1���,(��� <br />Scanned by CamScanner <br />