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� <br />� <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAUPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereUwa.org <br />APPLICATIONS ARE ACCEPTED FROM ! AM TO 4 PM "!Z G� ��- <br />ADDRESB: vROVErtTv7,uc• � lY �V <br />� ��7 � Q S� �� � <br />IL for new construction: Short PleVwbdivisia� Ld No._ (attadi coPN of lorq bpal JeaaiPfio^) <br />eREUf.eE,''�r�oJs��l� A�►�benf r�,��� <br />% 27 f S I S� � caris�rerLv �F2Fi�T. LIl s4 �iS.'2� / <br />.ICANT: _ OM+ie� _ Ownera Agem y,� Conlrecta Contralofs Agent _ TenaM Im�w c�. rux a mn..m�mm n. w�nx m m.ak n ns w�l <br />------'-._ ,_�.�„A.��-e.�c_.� ..t/' ixii��r/ZAX%I—(h0 COEBus.LiaMD50FSs <br />PERMIT APPLICATION <br />Existing Use of Building •'II� � ��' �"T'� <br />Proposed use of euimin 4rS�bF,.�l��- <br />PRh:E OF WORK _% � /�% .ia � <br />type: ]�SingleFamily _Duplex_Townhouse _Multi-Famity _Commercial <br />oraect: New Addition _ Remodel _ Repair T.I. _ Sian _Sorinkle��, <br />C DESCRIPTION OF WORK /addeana� space pmvidea on me bedfJ � <br />Reb�GlCe. '�uY�0.C� <br />I <br />of Project: _Naw_Addn �( AltenNon _Rel�alt <br />PERMS'T <br />aProjaet: _Nw_AdAn _Albretbn_ReWir <br />C��'i <br />/ <br />C I �ereby mNy that I �ava read and enmhetl Mb appinlion anE Mow I�e eame 10 Ee bue anE cortsd. N poM�bns ot Wn rM oidY�+noe� yrnvnHO �b lype d woik w� M mnqfeU <br />wM� whelhur speaf�eE nerein or not.7tie g�antng of e permM Ooea nol prewme lo give auMorMy ta violHa a crKe11M piov4bn d my oNx Yste w bcN Iwi iepul�l�q mmtriWbn <br />Tl�at I am aN�oriz Me arm a/ Nis �ly lo peAorm Ne wak for wlifc� appkasNon is maEe �nd I comply wM tlie SfaM Cantr�du� Law /B27 RCW ��.� WAC. ��G�/ <br />✓ <br />� <br />/ <br />d ut AgentSignature Date (����Z% <br />