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Bui <br />( <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT' PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED F OM B AM TO 4 PM � �� 7� <br />)DRESS: PHOPE TA%p PERMITp <br />) 5E �✓� M�A-u- W� ,f u� o Soo �u o _� <br />for new construction: Short Plat/subdivision Lat No._ (attach copy ol long legal desviption) <br />� j� S'ri,K sv,J Ca .( C <br />�I�A-�/�. S� l� <br />fgc3waa, pD s <br />PERMIT APPLICATION <br />SN Lt-C <br />0 <br />Use of Building SN-d�—�-- <br />d Use of 8uilding .A �nJ Tri- [_ CJFFi Cc�- <br />PRICE OF <br />WA <br />�p�� Sus�o-n/ �S�1�pF'S� �M <br />Building lype: _ Single Fartiiiy _ Duplex _Townhouse _ Multi-Family xCommercial <br />Type ot projecl: _ New _ Addition _ Remodel _ Repair,�('T.I. _ Sign _Sprinkler _Demolition Change of Use <br />DeScripfionofWork(etlditionalspaceprovidedonlheback):�5. (:,p/NS1����0� d� r4- �b✓1)4-C_ O�FlCG � <br />14 MGI.I) StFG�L_ SOA-CG • W�(�LS� �i(�6C�T�21C� M bC.f-�ANLC/}L� CGLC�IM(y <br />/,[ 4-t�-T(tl(r r'r�1cStFcS. M�[.-HB.��Gd-C. ��t�c7-/�c�o-c..� Pc.vnti/3u/C�� SPl'�-[.�/ -' J <br />��2c s yS�'� s,42o g a�a d2 "D� s r 6-',v a Y cu,ur2,ic.7b/'� C���brLz.e�j P�,e,r�t S1 <br />Have you started wo' rlcing without a permit7 _YES ,�NO J <br />MECHANICAL PERMIT APPLICATION <br />ofProJect: _New_Addn _Alteration_Repair <br />ot Heads <br />PLUMBING PERMIT APPLICATION <br />ofProJect: _New_Addn _Alteretion_Repai� <br />Medicai Gas <br />Olher. <br />Other: <br />I hereby certify Ihet I have read and examined ihis appliwtion and know ihe same to he Irue and conecl. All provisions ol laws and ordinTnces gaveming <br />this type ol v.ark will ba complied with v.hether specified herein or not. The granting ol e permit does not pres�Te lo give aulhonty lo violale or wncel <br />Ihe provision ol any olher state or lowl law regulating wnstruction or ihe pedormance ot construction. Tha� I am aulhonzed by lhe ovmer ol lhis property <br />to pertorm lhe aork lor which appliration is made and I comply with Ihe Stale Contractors Law 18,27 RCW and 296.200 WAC <br />��SS �iJ1.c-_Q.a-� �� ( � � l / <br />OwnerlAuthodzed Agent�ignature Date (RevisedY1071J <br />I Iv <br />