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� i <br />PERMIT APPLICA�ION <br />BUILDI�VG/MECHANICAL/PLUMBING/SIGN/SPRINKLE:R/DEMOLITION <br />CITY OF EVERETT PERMIT SERVIGES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />qPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: . PROPERTYTAXN PERMI # <br />�'�i,�:� SC ��,�e.i; ��r�i,lti/.�y ,5�,t;�t L`3v�si3vo��n�l ��� � �� <br />fot nev+conslruction: Short PiaVsubtlrvision,_ <br />� �.�c;� J�ll,Ul �h l�l��. <br />i����Nc� ,�r�-b��,, i��jl�!. ��„� ���� <br />�do._ (attach copy of long legal descriplion) <br />D,.�s , ��� 'I 1�i�3 <br />ANT: Owner _O�mefsAgenl Contraclor "�ContraclorsAgent T011BOI�mus�D�ovidea�etlerafconunlhoml�eovme�loCovmrklnt�espaca) <br />' 1� , 1=`/I�fZC(LL���S�IIZZ COEBus.Lic.#CXI�I�S�� <br />ACTOR �Vefc. ,^Cc�� I`-�� ���i=���{''2'� L& I Lic. #.�, <br />l �� ���"i� I�i.,yon 5f�� yL!✓���ti,W��i- �\'��J� PhonelEmail l.Jb-76�'-;Z�`f n�t����L„c�.'u-��',v�-c .�..�� <br />J8(1a.�9,� �.Ji�c`c» <br />LDING PERMIT APPLICATION <br />OR PERMIT��� � �.��L,.,��— <br />?�G--7C. 'i"2�Iv�:��l.Z�li/�.l��y��G.w��^eo�vnr,.��-, <br />PRICE OF WORK d� 5} l D; �' <br />Exisling Use oF Building - <br />Proposed Use of Building Gas Eiectric_ Oi� r <br />Building tyFe: _ Single Fami!y _ Duplex _Townhouse _ Multi-Family �� Commercial <br />T pe of project New Addition Remodel Repair T I Sign Sprinkler Demolition_Change of Use <br />DESCRIPTION OFp WORK (addifional space provided on fhe back): <br />;-t_ -Tii^'C. �3 5'Ce.%f'ap �.n� f' D•�l' �l� ci�::11L5) 5�:1(�" SYS�'^� W1 i'% D.t' � l� i f�7x,'�"P �1.� � <br />�„s�,��hw, � �� <br />„ ;. <br />��vc'; �..,,rr �.,,, .I ��� ��c5 � �!„�,,,xrs . <br />MECHANiCAL PERMIT APPLICATION <br />Typo of Project: _New _Addn � Alteration _Repair <br />Show NumberlM) of flxtures <br />N <br />Gas <br />Number <br />PLUMBING PERMIT APPLICATION <br />otProject: _New_Addn _Alleralion_Repalr <br />Show N�m6er /M) o/ fixtures <br />Olher: <br />Other: <br />Gas <br />I hare�y �h��y that I have reatl and emmined Ihis aDPlication and know Iho same to �e Wa and cortecL AII Drovisions ol laws enE ortlinances goveming t�is rype ol xrork wiil be complieC <br />with whether specifetl herein or not. The grenting ol a permit does nol presume to givo aulhoriry to viotate or cancel tha provis'bn ol any olher stala or bwl law regulating conslruUion <br />Thal l am aW�orimd �y Ne ovmer ol �his pmperty lo pedorm I�o work lor which appliwlion is maCa and I complywiU� the Stale Conlmclors Law 79.27 RCW antl 296100A WAC. <br />' ��z <br />�;�,.,�_, < / I � i � <br />OwnerlAuthorized Agnnt Slgnatura � Date (Revised fi�2012) <br />