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ua/26/2p16 TUE 12:�2 FAx a25z521666 CM Heating �p02/003 <br />� PERMIT APPLICATIO� <br />BUILDING ! MECHANICAL / PLUMBING I SIGN / SPRINKLER / DEMOLITION <br />C17Y OF EVERETT PERMIT SERVICES <br />320p CEDAR STREET, EVER�TT, WA 98201 <br />(P) q25-257-8890 � FAX 425-257�8A57 �(E) overettepe�everottwa.gov � www,avarettwa.gov/permlts <br />� ' PRO.�EC'i' 3JT� IN�OI�IVrY7�ON , � <br />PRQJECT SIT� ADDRESS; �-7 ��' �'L� �e PROPERTY TAX �f: <br />� `� <br />LEGAL tor new construction: Short PlaUsubdlvlslon . Lot No. (altach copy of long fegal desarlptlon) <br />� . � , , , , <br />, , , ,. <br />' _. � ' BUfLDIN�3 PERIYrIT APPL'ICATION ' ' , , <br />� <br />ng Uae of Bullding: <br />�sed Use of Buliding_ <br />ng Type; ❑SFR-Datached <br />of Prolect: ❑New �dd <br />Contract Prlce of Work: <br />Heat 5ource: <br />FR-Att�ched ❑Duplex �Multl-Famlly-# of Unft <br />on ❑Remodel �1Repalr ❑T.I. �Slan ❑Sprin <br />a ❑Electrlc ❑Other <br />❑Commeralal <br />er �Demolitlon ❑Chan� <br />j��d� �S ����n 5 Pl ��5�� <br />� � <br />As5oCiAT�l7 BUILDING PERMIT � (If euAllceblal: <br />❑lndustrlal <br />�f Use <br />ACKNOWLEDGEMENT; / heve revlewed ihls eppllcetlo� and canflrrrr fhe (nformatlwr contalned hereln Is tnre e��d eorreet. Work dono pursuant to thls parml� mtisf oomply wlth <br />current Isdsrvl, atete, Qnd loce! law. Tha granfing o( o parmll only aufhorizes epproved work end no davletlons therelrom. bavleflons must flr9t ba suthorizad /n wrllfng trom tha <br />Bu+ldlnq OBldal be(ore heing aufhorized under any clrcumstanca. 1 am fhe owne , or r em euthorized by the owner o� lhis properiy to par/vrm fhe work !vr whlch app/lcatlon Is made, <br />anri l aomp/y wl�P� Iho Sm�� Con�racto�s �Qw 1&.27 RCW and 296,200A WAC. <br />cny or Everarr omo�er us� oniy <br />''1 IO'�� II� P�RMIT l �� �� , <br />1 (,�-�� <br />Ownor/Authoriz�d Agent Slgnature Data (Revlsad 90/92/2096) <br />