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( <br />( <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRlNF(LERIDEMOLITION <br />CITY OF EVERETT PERMII' SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX �:25-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTEI: FRO�S tl AM TO 4 PM ��— I�J � u <br />for now constructlon: Shon PleVsubdlvislon <br />z James E. King <br />PO Box 42304 <br />acroR ACCO Engineered Systems <br />835 North Central Avenue, Suite #132 <br />PERMIT APPLICATION <br />Use of �uilding ��CB <br />d Use of Building ��CB <br />Lic. # <br />M <br />0262360 <br />No._ (ettach <br />PRICE OF WORK <br />� <br />Iegaldescdplion) <br />OS ahanks@accoes.com <br />HEAT <br />ng type: ,_ Singie Family _ Duplex _Townhouse Multl-Family _ Commercial <br />ofprojecl: _New _Addilion _Remodel _Repalr_T.I._Sign_Sprinkler_Demolilion_Change ofUse <br />riptlon of WOrk (addilionel space provided on fhe ;•9ckJ: <br />Have you started working without a permil7 _YES _NO <br />MECFIANICAL PERMIT APPLICATION <br />ProJeat: _New_Addn _Alterallon_Rapsir <br />Sbow Num6er (p) o/Portures _ <br />o1ProJaol: __New_Addn _Altaration_Repair <br />show Num6er M) olllxturea <br />Medlcal Gas <br />Other. <br />I NumberofHeads i umer. <br />1 hereby ceAify �hat I have read and ezamined Ihis applicalion and know lhe same lo be Uue end conecl. All provisions of laws and ordinances goveming <br />ihls type of wvrk will be complied with wfielher specified herein or nol. The granting ol a pertnil does nul presume lo give eulhorily to viola�e or cancel <br />lhe pmvislon ol any other stata or Iocei law reguleting consirucllon or Ihe perfortnance ol wns�rucll�n. Thel I em euthorized by lhe rnmer o1 this property <br />lo perform the v.ork for whlch ep Ilcation Is made end I comply with the Stete Contreclors Lew 1B.27 RCW and 296.20U WAC <br />,� , ,.•�Q�,�[� Sept. �', 2011 <br />w edAuthodza A entSignature Dale (Rev)sed7/2011) <br />, �� <br />