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r'ERMIT APPLICATIOt� <br />BUILDINGIMECFiANICALIPLUMEiINGlSIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />(ornewcmclruction�. Short <br />Sc;� <br />__Ownor _OwnofsApent �Canlraclor _,ContmelorsAgonl _Tawnl�mu.�o�anaeobnerofconsenu�ommeoanermuo..aknu+e+v�=�1 <br />a <br />No._ (allach copy ol long logul doscnption) <br />�i 2ot.� • 335-cYle;'� <br />o �vE.'�C-c'c ��1� �cc�' � <br />Lic X� V�I�-� F F <br />�\R hs`7 <br />�r` PhonclEmail <br />fENANT BUSINE55 rvnc�nt <br />��.c.:cG�y C�\0.':�`.�nt-{�--�`^L�. 5�...a...� <br />PhonolE-m�il ��-5- W LZ� �f 'ZO <br />LDING PE'RNIIT APPLICATION <br />Use of Building <br />PRICE OF WORK E��• <br />Pro�osed Use of Building ' <br />Building lype: _ Singlo Family _ Duplex _Townhouso _ Mulli•Family � Commercial <br />. .. .��...__ o,.....,aei aaoa�r T.I. Siqn _Sprinklei <br />E� <br />DESCRIPTION OF WORK (addrt;one� spece provided on the back�: <br />r'tEF�sc-�. E�..•:�:.�,6. '�cLcTc� l�.�i�` �i�ut.W--,c- ���R: ��Z.( �.zt'� <br />Nc�v ���.� F:�- �\Y.� i1��c�i:c. �F.1�t QJ'���F'. <br />MECHANICAL PERMIT APPLICATION <br />ofProJecl: ,_New_Addn �A�teratlon_Repalr <br />H <br />PLUMBING PERMIT APPLICATION <br />otProJect: _New_Addn _Allerallon._Repalr <br />Medical <br />Olher: <br />I hcie�y cemty Ihat I have reatl and exammed Ihis aDPlica:�on and kncwthe same to De We ana coirect All pmviiions ol laws antl ord�nances Bovemin0 �his rype ol xrorkvnll be comphed <br />vnth whclher sp^ahed herein or not T�e g�antinp ol n permtl Uoes not pmsume lo Oive aul�oMy to v�olaie or wncel Ihe pmvisicn of any at�er staie or local lax repulaLng conslniGion <br />Thal I Ihonzed by e oxn ol lhis piope�Y �a ��orm thework br wh�<h appliwLon is made an7 � cemD�Y ���h lhe Sla:e CONraCors law 1827 ftCW antl 296 20^A WAC 1� <br />�I � <br />` <br />����,�.r—�--��/��' �(� C� 2G\ � <br />� Date (Revised fi2012/ <br />Owncr/Authorized Ageot Slpnawrc <br />