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Ro�T �T �v1d2/ <br />8 <br />� I'ERMIT APPLICATIO� <br />BUILDING I n11ECHANICAL / PLUMBING I�IGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />' ` PROJECT SITE INFORMATION . :. . <br />PROPERTY TAX #: <br />Ol 1 erz W D �Z <br />LEGAL for new construction: Short PlaUsubdi <br />No. (attach copy of long legal description) <br />'' ` '� ' BUILDING:PERMIT APPLICATION ` <br />;._ Ii(�� L� � __ Contract Price of Work: $ O C� �=z-���� <br />Existinq Use of Building: i� ___ <br />Proposed Use of Building• v IHeat Source: ❑Gas ❑Electric ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: ������,a,t� O� G�L—� �K�=C7�1/L�j C>r� ��l.�S ( 3l�t'�' ZS -� �t11 <br />�,� ✓I �.�--�..aCa�,.�J ��?c,�--yn.'� _ C��/c�z r� 2? � t✓ty +� r�3',� "�'pfi� Gv�,►� `i <br />tsNi�L t�/l�l n��)'Li � /�/�� � �i.] i�.� '�� '"' �TT'TL ►o � " �' /�5:� t-FA�=[` <br />��r� t��S <br />ASSOCIATED BUILDING PERMIT # (if applicable): _ <br />ACKNOWLEDGEMENT.• I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br />current federal, stafe, and loca! law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the <br />Building Official befo�e being authorized under any circumstance. I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, <br />and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />Ciry ot Everett Official Use Only <br />PERMIT # '� <br />. `,� (i -- � i l <br />�, f �., � � <br />(Revised 10/12/20i5J <br />