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11/29/2011 11:16 2066332202 PAGE 01/02 <br />� . A . <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />/ CITY OF EVERETT PERMIT SERVICES <br />�7��r.� 3200 Cedar Sl., Everett, WA 98201 • 425-257-8810 — FAX �125-257-8657 —wwv�,evereltwa.org <br />` �t� APPLICATIONS ARE ACCEPTED FROM D AM TO 4 PM (��� //I <br />ORESS; PROPERiYTA%q p T <br />��.r.�� c�cn �icwu �'i %/ / - ZY% <br />(OfnewConSWclian; ShOR <br />NG PERMIT qPPLICATION <br />Exisling U9e of Oullding <br />PropoSed Use of Bulldlr <br />Na_ (altechCODyotlon0lepaltlascriplion) <br />Phpi7NEmail <br />PRICE OF WORK <br />ng type: _ Single Famlly _ Duplex _Totmhouse „_ Multi•Family �' Commercial <br />ofproject: _„New _Addlllon �l Remodel _Repair_T.I._Sign_Sprinkler_Damolition_Changc ofUse <br />of WO�fe(addi6onelspacCprovidedan7heOd�kJ: <br />�` �ns�l � w�e�, s�n�c. E drir� Ka'�� �ou�t-0.� v1. <br />you started working wlthout a permil7 �YES _NO <br />ANICAL PERMIT <br />of ProjCcl: _New_Atldn _Alle�atlolt_Repall <br />P�UMBING PERMIT ApPLICATION <br />otProJece: _Now_Addn _At(oration_Repoir <br />Show Numberld) o/Ilxtu�es <br />Olher: <br />GBS <br />I hercby eaNy Uw; I pavo reod end oramined Ihls a0plice(lon fln� gnow ihe eamo to 6e Ime nnd corcuct. All provisions ot leH�s And ordinence� goveminp <br />ihis typq o(twrk xdll be romo��ed vAih �vhalher epeclfiotl hereln or not. Tnp prenting of n pnmit does nm presume to give authodty �o vialnlv, or cancel <br />Ihe provision of any olher elalo or lacal law rcpuleting cci�trucUan or the perlo�mence of conSWclion. Thpt I am authod=etl by fhe awner p1 thi: pmpeAy <br />l0 Oa«o lhe uyfh for tvhlc ppliCOlion Is m�;le and I comply with Ibe Statp Conlreclor5 Lm+� 18,27 RCW �nd 2P6..^00 LVAC <br />. � zz�-..�--- r r 9 � - <br />OwnaqAu�horl:COApent IgnaU�re Dala (Reh:Ctl7/20fiJ <br />