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11/23/2p16 wEo 7:56 Fax �25 252 1666 CM xeating <br />�JV02/VOZ <br />. � <br />PERMIT ApPLICATION <br />BUILDING / MECHANICAL / pLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CiTY OF EVERE7T PERMIT SERVICES <br />�2P0 CEDAR STREET, EVERETT, WA 9B2D1 <br />(P) 4z5-257-8810 � FAX 425-257-8867 �(E) everett�ps(�everettwa,gov � ww�u.eversttwa.govlperm{ts <br />lu f '� j� ;, , <br />;Qh,.� � n '�:���� � 1�►��� ,R�,J�a�T,,�i�T�:;� iNI�Tr . ,'''`:., ,,,;,,, :, : , , ,,: <br />_ ,�,.� .�;-�� ; � <br />PROJECT SITE qpDRESS; ��(� I PROPERTY 7AX #: <br />LEGAL for new conatructlon: Shvrt Plat/subdlvfslon Lot No, (ett�Ch copy of long Iggel deacrlptlon) <br />��„� <br />ASSpCIATEd BUILDwG <br />fyp• of ProJect: _New ,�p Addn �►Iterellon <br />CKNOWLEDG�MENT; / have revlewed fn�e applfaatlon �nd conflrm the lnformetion confalned haroln Is frua and conecf. Work dona pUrsuarif to chls permlt must comply wlth <br />lrcenf fedaral, sfafe, endloca! law, iifa e���ting o�e porrn/f onfy au�horlaes approv�d wor9c enQ no devletlona therelrom, Deviatlons must f1�st De suthorized Iro writlnq from the <br />uifdlnp O/llolel before being authorized undar any cl�umatance. / em the ownar, or I am euthorleed by fhe owner a/ th(s propeny �o parform Ihe work (or whla/� app!lcatlon is made, <br />7d I comply wlfh the 5tafe Cvntractora Caw i8.27 RCW and Z98,200A WAC. <br />Gfy of Evei�ett Ort�c�al Use onty <br />P�R IT <br />5 <br />(Revls�d 9 2 0�8J <br />