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� <br />PERMIT APPLICATION <br />B►JILDING/MECHANtCAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettyva.o `� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (7 � <br />ADDRESS: PROPERTY TA%N PERMIT � <br />�sr'�Br �fti0 / EGE2�Loc J G�.4Y —i�l <br />lor new construction: Shor1 <br />CTOR �� Kd�l� � D�� r �L&ILf <br />G � oo i Z T" ,� vE S 5�,4 «a <br />i30 i,7� C,4 SE.4 �G C�� <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />d Use of Buildir <br />Zc$ r <br />S�t�-� E <br />(altech copy ot lang legal <br />T Ha0 (J �-p %�Q,(, <br />nelEmail � � 6 � S/� - � �3 u <br />`— <br />/Z« N vtI20 S� i Trr <br />��Gyr7��7 � /2T flOGD •Gc� <br />PRICE OF WORK /6�n `-=" <br />Bui�ding type: _ Singie Family _ Duplex _Townhouse _ Multi•Family � Commercial <br />Typeotprojecl: _New __Addition X Remodel _Repair_T.I._Sign_Sprinkler_Demolilion_Chenge ofUse <br />Description of Work (addilional space provio�d on 1he back): �N� C �� � � pp` ��� L L s <br />,eC - Pi Ps G-,�l s.��,�...� � ro 2 <br />%O .4ccc+N-,ob.4TE Ncw �9�PL/�NLc S ��x�ST'����Er�-b�'y� <br />Have yau sWrted working without a pertnit? _YES x NO ��� �'�C�� __ <br />MECHANICAL PERMIT APPLICATION <br />TypeofProJect: _New_Addn �Alteratlon,_Repair <br />Show Number (p) o/ �xtures <br />/ <br />PLUMBING PERMIT <br />o1ProJect: _New_Addn _Attawtion_Repalr <br />Show NumberlM) 01 Bxtures <br />Medical Gas <br />Olher. <br />I hereby cerlify Ihat I hare read and examined Ihis application and know Ihe same to be true and cortect. Atl pravisions of laws and ordinances govemfng <br />this type of work will be complied with whether specified herein or not. The granling of a permit does rtcl presume lo gtve aulhority to viaiata or cancel <br />the provision of any olher state or local law regulating construction or lhe peAormance oi constru�!on. Thal I am authorized 6y Ihe owner ollhis property � / <br />to perform e ork for w ich applicati�o is�ma�de� d I compiy with the Slate Cantractors Law 18.Y7 RCW and 296200 WAC � v <br />� ( ��,. c7sw �- 5'-G-� � <br />OwnnrlAuthorized Agent Signature Date (Revised?l20f 1) <br />