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PERMIT APPLICATION <br />BUILDfNG/MECHANICALlPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERE7T PERMIT SERVICES <br />3200 Cedar Sl., Everelt, WA 9£320'1 - 425-257-8810 - FAX 425-257-8657 - vnvw.everethva.or � <br />ApPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �`� S � <br />4DDRE59: =+�' � PROPERiYTAH# � g6 NIT^N <br />.. _ c... .� ._..- ,. �.. . i.. �A�l ZoG'i 1 �CC+LI—C%i V �I �X��-�I <br />for nmu conslrucUon: Short PlaVsuWi�ssbn Lot No._ (altach copy o11onE legal desuiptlon) <br />ST'iA.�fs�si �i:��2s.C'1-f"l� <br />� v\ VC �N I�FR N.AiJ <br />,rnn T�/,� iJ�f1�iPAA ��(� <br />`LT� `>>�i�— <br />BUILDING PERMIT APPLICqTION <br />E <br />� f� U � ��S <br />J t�.� � i��-�� ���,.-e -r <br />PRICE OF WORK Z� ma �p <br />xisling Uso of �uiWing /z % T-± � � <br />roposed Uso of Bullding 2 z�T�� � �- Gas_ Elrctric_ Othcr_ <br />uilding typo: _ Single Famtly _ Duplez _Tov+nhouse _ MWti•Fumiiy _ Commerciai <br />ype of proJect: _ Naw _ Addillon _.., Remodel _ Repair �I. _ Slgn _Sprinklcr _Oemolilion_Chango of Uso <br />aserlplion o( Work (addil�onal sparn orovlaed an fne bnch): <br />� �.i�''— C �.: ' � CLL,.:C:� � ,.� . <br />avo you sinrtod warking wlthout n parmit7 _YES ��O <br />MECHANICAL PERMIT APPLICATION <br />ofPro�ucl:_New_Addn �Allerollon_Rupalr <br />h7fi <br />hentor <br />KLER/SUPPRESSION <br />PLUMBING PERMIT APPLICATION <br />o1ProJeet:_Novr_Addn �Altorallon_Rapalr <br />[.� <br />Medicnl Gos <br />C!her: <br />Z <br />•7'� I NumberofHoads � VO1C1. <br />I hereby cetliry Ihat I havo reatl and oxomined Ihis appliwtlon and knmv Ihe same to be lmo artl eorrec4 All Orovislans ot lev+s antl artlinances goveming <br />this lype ol work will bo wmpiied wilbwhethe; spedficd hcrcim m �oL The qranUnB ol a permif docc nol o�eaume lo givo oulnorily lo violaio or rAnccl <br />thn p�ovlsion ol any other stalo9 I larr mgulotln0 �nsimcllon or t�e perto�mnnco ol consWcllon. That I am aulhorized by lne rn•mer ol thls propeity <br />to i o � Iho �turk lor vmich o pl:^a�i 5 �Oo nntl I comp'y �Nlh �ho Slalo Conllaclots Larv 18.?.7 RCW ontl 296200 WAC <br />� �c�� 7 �S l Z <br />Owned ul iori:etl Agont Slpnaturo /oale (:+ovlsetl 7rz0�p <br />/ 0�� <br />J �e`��. <br />� <br />�snc�r-tsr <br />: c. '-�-PA,., � .r- <br />_ � �. +-� <br />/� <br />