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��dr. S. 2Q14 8:23Fh1 <br />PERMIT APPLICATION <br />"�o. 4990 '. 3; 3 <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKL�R/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everett, WA 98201 425•257-8810 FAX 425-257-8857 w.wa everettwa.❑rg <br />APPLIGAilONS ARE AGCEP'(ED PHOM 8 AM TO d PM 5— q �I � <br />4DDRESS: paov[nirrnxa reqn�ira _ <br />fa newconstruction-. Sror� PWUwbd�s�on LoI No.___ Wdach copy o! long legal deStripUon) <br />� <br />��� <br />A9ent �nt <br />ILDING PERMIT APPLICA710N <br />E�isting Use Of Building <br />- �61- 633 / <br />e�t, uJ64 � s'� <br />_Co�tmetofsAgent _Trna�ll�m�o«�r:exeseicm,enur,,,�timnriom.o.�,ue,w;et <br />&ILic.# <br />PRICE OF WORK <br />pased Use of Building _ L_ <br />Iding rype� K.Sirx,7le Family _ DupleY _7ownhouse _ Multi-Family `Commernal <br />�e ol pmject _ New _ Additan Remadel � Repair T,I. Sign _Sprinkle <br />SCR IPTI ON OF WQRK (add'rionar space prov�ded on �ne bxk/ <br />L.r�s�a�( IM�t�_�6isl.a l�. u�fia.�-� ��'��^^� <br />PERMIT APPLICATION <br />olProjrcl- _New_Addn �ItcraUon,r,Rcpair <br />SAow NumDor (u) o//ixfums <br />AIC _ �ir ��nNirnn unbe <br />/ SUPPF <br />Number of <br />COE Bus. Lic. # <br />S2 —yWo2 <br />H[ATSOURCE� <br />of Use <br />PERMIT APPLICATION <br />ofPro�acC _New_Addn _Allaratlon_Mpa�r <br />[�ack�;� oreventcr <br />�lnnal <br />Othlr <br />I naeby uvlJy I�al � narc �caJ and awninuJ Nis epD�wmn nnd �nuw Ihe Eama Io ho wa 1n0 caneU. An pwv6lme al iwc r✓in om'nunws povmmlnp Nn ip+e ol ma� w,n M rnmpFea <br />xnh wheNu spa�Jnea nrrdn or nol 71ie grartn9 0� a perm��l Ux� uot pewme In 91.e aul�afry lu ruLvc or emccl Ibc Ruwion af .ury dhn SL�IC <r bal law mqul�Ynq wnewrLnn <br />Thdl I im aulhor¢e0 by NB awner ot IN prope�ly lo pertoim Ne wor4lor wnlU� e00�lbn h maEe ana 1 mmpM �nln Ilie Sblre Conlnclan law 1! 77 RC�v,tnd 790100A WAC <br />�� � �� �� �� <br />OwnotlAuNot� AgntSignolu�e ' —� Dalc (Rnn<nd6'1017J <br />