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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITlON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98207 425-257•8810 FAX 425-257-8857 www.everettwa.oig <br />APPLICATIONS ARE ACCEPTED FROM B AM i0 4 PM <br />� Z co <br />/or newwnstmchon�. Snort P <br />t d3}o�k� S�o <br />7,32 colb. <br />Lot No._ (allacn wpY ol <br />PnorelE-mail 3�a � Z-} <br />cmrs,ac�z�o `I A Z o I <br />L1, — <br />descnpt�o�) <br />_Ov,•ner _OwnersApent �Contractor _ContracmYsA9ent _Tenantc*..�v�o�Ae.��ro�wo.emeomu�.sa,o��meo ,n�mme.orAi <br />NG PERMIT APPLICATION <br />Use of �uilding <br />Ilic.ft �i�'��-1G�-� <br />3�0 3oS d�r o <br />PRICEOFWORK /D�O60 <br />d Use ot Building I <br />type: �SingleFamily _Duplex_Townhouse _Multi-FamiN _Commercial <br />orninrt New Addition Remodel k Reoair __ T.1. Sign _Sprinkle <br />CRIPTION OF WO K(aoditional space pmvitled on tne bactr) : <br />R� r�o� �i-��ro-� -� R�,��o-F <br />PERMIT APPLICATION <br />ofProJect: _New_AEdn _Alteratlon_Repair <br />Sho,a� Num6crlpl olllrfures <br />haod <br />Number ot <br />F.9 <br />PLUMBING PERMIS APPLICATION <br />o1ProJect: _New_AAEn _Allcrallon_Repalr <br />S�ow NumDcr (Ml ol �iriures <br />Mediwl <br />Olher: <br />I here0y reiLly Nat I hava reaC enE ewmine7 Nis epplKelion enC know No snmo to bo Imo ond cortecl. M provislom ol lawa and oidinanem pavem�inp Nb ypo alwoA vaM Oo comptied <br />wM whel�er specifed hemin or nol. The pranli(p ol 0 D���� doq nol Drttume Io Bke oulhony lo WOW!a or Cencel No pmvision of any alber flalo or lowl6w repWaln9 consimciron <br />Timt I em euNonzeC Oy No awner ol Nle D�opeM �o pef.ortn Me work lorwhkh aDP�atbn 0 maCe enO I campN wAA we Siote Convadcn lew 18.27 RC1Y anE 398.700A N'AC. <br />----�� /�d26 2o I Z <br />OwnerlAuthorizetl Agent Signalure � ���e <br />(Revised fi4072) <br />