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� <br />� <br />for new conslruelion: Shart <br />�RMIT APPLICATIO� <br />ICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br />1CITY OF EVERETT PERMIT SERVICES <br />.WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />NG PERMIT APPLICATION <br />Existing Use ot Buildin9 <br />ARE ACCEPTED FROM 8 AM TO 4 PM <br />No._ (atlach <br />PRICE OF WORK <br />of long legal descriplion) <br />SOURCE: <br />sed Use of Building � ""'a— ` -- —-- <br />ng type: �Single Family _ Duplex _Townhouse Multi-Famity _ Commercial <br />of proJect: _ New _ Addilion _ Remodel �epair _ 7.1. _ Stgn _Sprinkler _Demolition_Change of Use <br />m ot Work (additional spece provided on fhe back): <br />��I�o a0 �v BAi �`u� �+-�( a, �'� <br />yau started working without a permit? _YES �NO <br />PERMIT APPLICATION <br />ofProJecl: _New_Addn _Altantion_Repair <br />ShawNum6erlMl o/�xturos <br />PERMIT <br />of ProJect: _Naw _Addn _Alteration _Repatr <br />ShowNum6erlMl o/BxWrcs <br />Othe( <br />I here6y cerlify lhal I have read and examined Ihis appli�a��on and know Ihe same l0 6e tnie and correct. All provislons of laws and ortlinances goveming <br />lhis rype of work will be complied wilh whelher specified herein ar nal. The grantin9 0l a permit does nol presume lo give aulhority lo vlolale ot cancel <br />the provisio f a y other state or law gulal�ng construction or the peRormance ol conslruction. That I am aulhorized 6y Ihe owner ol this property <br />to pedorm 1 e w k lor w�ich licatio ma and I comply with the Slate Conlractors Law 1827 RCW and 296100 WAC <br />OwnerlAuthorizedAgentSigaature /` ��e (Revisedl7/2010) <br />