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PERMIT APPLICATION <br />BUILDIMGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8610 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM T9 4 PM o� �— 'a. �'�i � I � <br />4DDRESS: PNOPERN TA%p PERMIT p <br />��� z�. ., i,. ni,..� P��n�_-�I i <br />IofnewConS�NCtion'. Short <br />J, r �ti.� k <br />�, .? o' �30, �. <br />Lc; No._ (attach copy ol long legal tlescnplion) <br />,�Ox�ner _OwneYSAgent _Ccn�ractor _Contraclor'sAgenl _Tenant(mu��wo+b•eknera�co�wmrtomm.ow�aroao.nnmma�oK.l <br />BUILDING PERMIT APPLICATION <br />Uso of Building. /__ <br />PRICE OF WORK <br />Proposed Use of �uilding � <br />Building type: ✓ Single Family _ Dupl� _Townhouse _ Mwli-Family _ Commercial <br />Tvoe of oroiect: New Addition _.. Remodel Repair __ T.I. _ Sign _Sprinklei <br /># <br />of Use <br />ESCRIP/TION OF WORK (addrtiona/ space provided1 /on the bacN): / 1 <br />�l�a�'-�; l�n�v.•n izr�� h-Tin �✓.yl� i!'II'1`� ��A" �e.•f �,ryl.� �f /h7t ��(.�sC <br />MECHANICAL PERMIT APPLICATION <br />ofPro�ect: _New_Addn _Allera�lon_Repalr <br />Number of hleads <br />PERMIT APPLICATION <br />ProJetL• _New_Adtln _AlteraUo;_Rc�+lr <br />Show NumberlNl olllxfure! <br />Other: <br />i here�y ceNry �4a1 I how reutl ond e.ammeC IOia applkalqn on� know�ho aomo lo Ca Irua end cortecl. All provisianf ol lawa unE ordmance! �oveminp thlf typo olwork vnp bo compFed <br />vnVi v,fieltier speuMd I�erein or nal. Tlio pmnlirp ol a pemiil dom nol pmsume lo B�e nuNOMy lo Nolate or cancel No provision ol nny o1M1er flale ar towl hw repuU�nq construclion <br />❑iat I am nuNonmtl Ey Iho avncr olt�ie pmperty lo petlorm I�a waA lorvJich appkatbn b moCa an� I mmpy wa� Ne Slate Conl:aclon Law 19 27 RCW an0 390 YOOA WAC. <br />/ <br />%� i /.�.', �1, a, 7��� <br />0�9ner/Au�hodzetl Ag nt Slgnalurc Dalc (Revised 6/1011) <br />