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PERMIT APPLICATION <br />BUILDING/MECHANICAL/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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ,� � o�L.!`� � <br />"�......... PROPERTYTAXp PF�{tM1T� n ^7 n <br />for new conslruclion: ShoR <br />(attach copy ollong Iegal description) <br />L � .C, _ , _ —� <br />Fl�ii�G , <br />/ <br />Owner Owner'sAgent �oNractor Contractor'sAgent _Tenan��m�s�pm.aeaenero�consemaommeovmnmaowon�nmespaal <br />,., n� 2�,i.-� i7..rn; i.:>a,z. ,J ;�K i�Y L& I Lic. #��: ,/jL/��NR.S /C.,�%�dE Bus. Lic. B>���Dy� <br />3s-v� �n�r�. <br />�'(_�u��NUi -�i�c.�ii�i.t�r.���n <br />BUILDING PERMIT APPLICATION <br />UJ/ IPhone/Email [�ZJ"�Q3'�! <br />�ercmir i.iY1 � :2.:J� <br />�lzs -� 7� �-�5'=�/ <br />PRICE OF <br />Use of Building %r1i'i�� ' � ' ' -- � <br />d Use of Building �11U �T /'�A'�!-l�� � <br />type: _SingleFamily _Duplex_Townhouse (Gr+iulti-Family _Commercial <br />.ie,., ndn�n„� RPmndel Reoair T.I. _Sign_Sprinklei <br />SOURCE: <br />of Use <br />DESCRIPTION OF WORK (additional space providetl on �he back): ,��;� t�'i'� '� 1`'J��'•���-� ���''' rc.ii::'�' �-c,`r=LUi�='�� <br />.�UiJ ji�%:i�.y/l Cttsii;Mjr,� �`i.�:1' n-'ru:� iYll�3CE%- r��'C/i.•srL•� n/= Tlft iz,//vr�l�,c.� <br />;�J) ��li��/!;� /.�c'iii/�L f%c,L'��qlf �95 /-Cc�[: j 6/)S /�j�ii�'C, Li��'� d CC�u L1['/fjL-C. �ii���- <br />� i <br />�-,%;;S�i r1 %L'S/• <br />PERMIT AP <br />o(Project: _New_Addn _Alteration_Repalr <br />of <br />PERM IT <br />ofProject: _New_Addn _Alleratlon_Repair <br />Show Numberlql o/llaYures <br />Other: <br />Other: <br />Gas <br />I here0y ceridy Ihal I haw rentl antl eRamined this upPlicalion and knmv No same lo bo Wa antl cortect. All pmvisions oi Wws an� ordNances goveming I�is rype of vroA �NI be complied <br />wn�nvhether speciGetl herein or nol The pranling ol a peimil does nol presume lo qbe aulhotly la dolale orwncel t�e pmvisbn of any oUier slale orlocal law reBulatinp consliuction <br />t�al I am nNhodxed by tha owne�ol Nis pmpeM �a pertotm Ihe rrork torwhth application is maCe anE 1 compyw�� t�e Slalo Coniracton Law 1827 RCW antl 298.200A WAC. <br />) � <br />�� � <br />. -' � i �y t <br />1 <br />,.Cf1,lY' % . `��--�%Ji.. � �1 C�'-/� <br />� Date (Revised 6/20121 <br />OwnedAulhodzedAgent Signoture <br />