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PERMIT APPLICATION <br />BUILDINC/MECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereltwa.org _ <br />APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM �`' °�7`� ' <br />A�DRESS: ri�� PROPER7YTA%p P T� r.�/ <br />ia;n_ _.= n c.-n�,- i=ilirWii A)� i.'r -lll0 <br />lor new conslnictian: Short <br />/YJi:/��� // �it'</S/iLG /,�r(i/% <br />.� I�O % C.,��ti� -�LL' ��t%i{�r_"/% <br />i <br />T: _ Ovmer _ Owner's Agent vContr <br />. . -� .... _..,_ / <br />3.SJc• ��;aii�f�.c� <br />- /lr �i iln=i � <br />(attach copy ollong legal Oescnplion) <br />'ra,'/ ICiry/5tale2iP C/i="�� �' <br />_COO�fdC�Of�SA(J2N _TCOdf111mustpmvNeeknerol[omonihommewmamEowoAlnNespece7 <br />t,a'G IL 8 I Lic. # <br />r��i <br />2RMIT j!�7/z?�.o�lG <br />�/Zs = �� �/—�/S'�f/ <br />� <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK -�/ 'Z�/� C<-� f�r��� <br />°xisting Usc of Building �'l-i9'�� ���te'%/����� HEAT SOURCE: <br />'ropused Use of Building /���LC/i-i �%7All�� �� Gas v Eiectric Other <br />3uild�ngtype: _SingleFamily _Duplex_Townhouse vMWp-Famity _Commercial <br />f� of project New Addition _ Remodel Repair T I Sign Sprinkler Demolition Change of Use <br />DESCRIPTIONOFWORK/atltlitionaispaceprovideeanNebacx):����J��iz �=K��ii;+.'�; Fv,c>c�Ce.'7� �S ��t��t��"��", <br />�:L.51-;f1/ CUStL"�:r;k�;-i ��)�ai,a.' ,=io�:C;,�����', �:,�'G%ce<.L•G c7�= i7FG1v�iO�d;..'��.�%/%'jIrJKIk�US <br />.%CE.G(�i�% F�iCL�I•'A<� F��'=.�5 i=L<<L/ G'�'.i 11���,:�;c/ u:i:i� r3-Ge'tei .�[1II7fGL'-p e.J)�x%/.' _5i�1•1�4 <br />%c: : �! � <br />PERMIT APPLICATION <br />ofProjecL• _New_Addn _AllemUmi_Repalr <br />Shnw Num6er /pl o/lirtures <br />Number <br />PERMIT APPLICATION <br />ofProJect: _New_Adtln _Alterotion_Repalr <br />.snnw Num6er lp/ olOxfwes <br />Other. <br />Olher: <br />Gas <br />I Immby cenAy Ihal l �ave reatl an0 exemined Uis appliwtion ond know Ne>ame l0 6a Wa on� wrtecl. AI� pmvisions oi lawa antl orCinances govemin8 Nis rype olwork vnA he compbetl <br />wnh aRieUmr speciGeE herein o� nol. i�e 9�antinp ol a permil0oes nol presume to give out�onry to vioWte or canccl t�e F�avisbn o/ any oNer stalo or local law �epuWting consW Cion <br />Tl�a� I am aamorixed by iho ownerolt�is properry Io pertorm tha rroik /orwhic� applicntion Is matle antl I compy wlh l�e Slalo Contra<tors Law 18.27 RCW an� 79fi.200A WAC. <br />� <br />� � � �� ��� ��^r3 <br />� (i '/ ' /I 't ' - (Revised 62012) <br />OwnedAuUiorized Agent Slgoature Da�e <br />