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-05/20/2011 03:38 2067296173 NORDIC SERVICES PAGE 02/02 <br />PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 42S-2S7-8810 — FAX 425-257-8857 — www•evereriwa.org <br />pppl,ICATONS ARE ACCFPTED FtiOM 8 AM T04 PM ��„_ <br />E, <br />fornewconsWClan: Short <br />IC. <br />; <br />�� <br />Q�� <br />BUILDINO PERMIt APPLICATION <br />(anech <br />ROISI <br />� sa��s�o <br />.. � _...�.. <br />Lo�ier 2d� S7! �(�{ <br />PR10E OF <br />Exieting Use of euilding .� r ry <br />Proposed Use ot Bullding N o G�+0.� � Gu EMdt1e Ourcr — <br />Buildinptype: .�SinpleFamily _Duplex Townhouae _MuRi-Family _Commerciel <br />Type of project: � New ,_ Addition ,� Remodel _ Repeir,_ T.I. _ Sipn _ Sprinkle� _D�molilian_,._Chenge of Uae <br />Oesaip0onotWork(edd+troneisp�eapro�eeaontn�raex): ,r Z yx(e �'A�TCIf�S. <br />5 w� a�\\ F � RG . M A l Nt� SmoK� Da.n.o�c�E . Re.�oa.i <br />�e�p�ac� Uw�3 4 1.--ns�.l�-F-io�n. Roa�Fir�. Z.�i'�'ior -hri� �pc�iu�'l". <br />Have you atatted r+ork�n9 wld+out+ pe��►9 ,�YES ,�NO i� <br />o}Proj�c� ,lNw_Addn _AlbMlon_R�palr <br />o1ProJ.et: _N�w,Addn _AINrMbn_Mpdr <br />Other. <br />I henby oettly Ih�t I haw nae anC tx�minW thle oppfia9on and know the e�m� ro De trw +n0 earod. A�t provielone ot law� �nd orOlnanns poveming <br />this rypa M werk wlll Eo cempliatl witM wholMr ep�tifrd honin er �nt 1T� pnntinp Ma pormil dae not pntum� to plw autho�lty M vlolab or aneol <br />the provisl n f any otMr sule or lacal tow regulminp mntlruetion or 1Mo parlormana ot eon�wcUon. 7hel I am a�Mwrlxad by th� a�r a1 Nls p�operry <br />to A e wo r whleA �P tion k med� and I eamaY vAt� �n� Sul� Centnaorc Law te.27 RC�V and 296.200 WAC <br />�' V � <br />Own r! uthorl d q�MSlyn�tun oNe (IMvlaed?J201f1 <br />