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PERMIT APPLICATION �p �/P —ll <br />BUILDING/MECHANICAUPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-25 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO <br />�newconsWclion: Short <br />^DS1J LLc <br />iurl u�� �� � <br />'^ LLC <br />b l/IA t <br />IS »tli.�t= �—° <br />� 5,.�: �s <br />PERMIT APPLICAT/ON <br />��I l G— u �� <br />—U% <br />_(allech copy of Imp bgal aeacnpUonl <br />z�3• z�.�_So3�J <br />,<,Nl� ��� 4vu z <br />253-3�r7 -s03� <br />7 `"` <br />xra �,,,� ,'/ <br />PRICE OF WORK � Z�oo . v d <br />6dstingUseofBuilding,1' '�^�v� 'v� — HEai svunce: <br />Pro{wsed l:se of Building ��'^^�K �'c� c• � Y Gas Elect�ic Giner <br />Buildingtype: _SingleFamily _,Dupiez_Tovmhouse _Multl•Family LCommercial <br />iype of projecl: _ New _ Additlon _ Remodel _ Repair_T.I. � Sign _Sprinkler_Demdilion_Cha�ge oi Use <br />�escripllon 0t Wofk (eddilional spete proNded on the backJ:' / L ' (.�'os'�/�j�IR � <br />_LLM1SfL.�� �%t1L �! �� sr�,� �ii[t� L�(INNPL� /�U ek�Sf�Yt�% / <br />Cr✓'�V ��h– � <br />Have you staAed working without a permlt4 YES %C NO <br />PERMIT <br />ofProfact: _Naw_Addn _N[mtlon_Rpalr <br />Show N�mMr (Q oI nxtuns <br />proJ�ct _N�w_Addn _AluMlon_R�WIr <br />Medical <br />Other. <br />� � Number of Heads � � � �� <br />I hereby ceNfy lhal I have read and ezamined lhis aFpliwtion and know ihe same lo be We and cortect. M prm��dons o1 Wws and ordinances 9�n^��8 <br />this �ype ol xorlt vA�l be wmplied vAih vfielher sD�fled herein w nd. 71ro g2���ng ol a permfl dces nol presume �o gNe autlwriry lo vbla�e w wncd <br />�ha pravislon of any olher stale a lowl law regulaUrg consiructlon or the performanca of consW dlon. That 1 am autliaized by Ihe m�ner o( ihis property <br />lo perlortn Ihe Mo r xhkh appliwliai is made and I comply xilh the State Cwitradas Law 18.27 RCW and 29b.2U0 WAC <br />!o/r7�(r <br />orm�arrze A Signatum oaie (Revisedvzot�) <br />(/� <br />