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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www•everet� a.orys `1 � <br />b?, ppPLICA710NSAREACCEPTEDFROFI8AMT04PM f� <br />ADDR 5: PROPEflTYTAXq � �rj �.,aJC <br />�� 1 ZcfLf�2Z��tJ l,t..JP�P �� <br />�L lor new constNctlon: Shorl PlaVsubdiv!sion_ � _Lol No._ (attach wpy af long kgal dascdptlon) <br />.[1�nCn. � Cil�Ol�fi�_ �/ Jlll� iI (_ _ vhonelE•mali �i oZS- 33� ��J� q <br />Lic. # <br />V R�,A <br />BUILDING <br />Use of Ouilding <br />PRICE <br />ised Use of Building \�G �� N—� — �1 - <br />ngrypa: _SingleFamily _,Duplex Townhouse _Multi•Family rCommercial . <br />ofproJect: ,_New _Addilfon _P.emadel ,�Repair_T.I._Sgn_Spdnkler_Oemolftion_Change otUse <br />rlptlon of Work (addtllonal space provlded on fhe 6a� � ���_ <br />Ef+-��c ��C-- f�-'DA-� 4A S , <br />you started working without a permit4 YES ,�NO <br />PE RMIT <br />proJect: _New�ddn _,AlleraUon_Repalr <br />PERMIT <br />o1ProJect: _New,�lddn _Altention_Repalr <br />Othar: <br />Gas <br />1 hereby certiy Ihat I have rexd and examined ihis application and know the same lo be INe and correcl. All provislons of laws end oNinances goveming <br />Ihis rype of xnrk wili be comPlied wilh whelher specified hereln or not. The 8�nting of a permit does nol presume lo give authonty to vlolale or wncel <br />the provisfon of any oUef slale or I regulalinp wnsirudlon or IAa peAormance o(consWdlon. Thal I am aulhorized by lhe ownar of thle propery <br />lo pertortn lhe wotk u which a o made and I comph' wilh lhe State Contractoro Lew 18.27 ftCV� and 298.200 WAC <br />� Z� � <br />Ow I ul orized Ag Ignature te (Revised7J401f) <br />�la <br />