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� <br />PE4MIT APPLICATIOIV ��� <br />BUILDING/MECHANIC 4UPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8870 - FAX 425-257-8857 - ww�v.everettwa.org` <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM %^'� ✓� <br />O c'.� <br />for new conelruc�bn� Shorl <br />, <br />PERMIT APPLICATION <br />No._ (e�lach copy ol bn91e0a1 <br />s <br />�fs <br />PRICE OF WOfiK <br />rtir,g Use ol Building <br />posed Usa of Building oae Electric� otner_ <br />ding type: _ Single Femily ,� Duplaz _Townhouse _ Mulli-Famlly _ Commercial <br />e ol pro�ect: � New _ Addillon _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Chanpa ol Uae <br />icdpUonJ �of Work (edtlifionel spece provlded on Ine beck�):/ ) �j <br />I�li7r"+�� OI.JL�L.f�1 IYC4T Tr/�-+P <br />slaAed working without a permit7 _YES <br />PERMIT <br />ol Pro�ecl: �New _Addn _Alleretlon _Rapelr <br />PERMIT <br />Pro�acl: _Naw_AdCn _AlUretlon_R�palr <br />Olhar: <br />Ges <br />I hereby certiry t�at I have read entl e�emineU l�le eppllcation anC know Ihe same lo be Wa and cortecl All provlebnf of lews en0 ardinencee povominp <br />this tyDe ol work vnll Ce compliM vAth whel�er epeU�ied hereln or nol. Tha 9�anOnq o� e peimit tloee nol prowme lo pive euthonry to vblele ar cnncel <br />the provision of any olher state or local law repulalinp conelroctbn ar Ihe peAormance ol con�Uuclion. T�et I am euthorizeC by the ovmer ol l�it propeM <br />to Oedor I�e wo�k lor whieh eOP���ation Is me0e enE 1 eompy erith lhe Stale Controeton Lew 18.27 RCW entl tDB.200 WAC <br />�— <br />arlAulhodxetlA nlSlp ehre Data �R°WQ�����% <br />