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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.eve/re�thva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM p I� 3— D <br />ADDRES : PROPEflTYTAXN FERMIiN <br />, b n�u�, � ����.�(,�" ,U�ll a�, �9t, l .c.r-��-�- <br />lor new wnsWction: S�otl PiaVsu�Orvision Lot No._ (altach copy ol long legal tlescnption) <br />i �(i $�I'7 � PnonNE-mail � �iU /� �� <br />So� S.(i . �cbuxf �k�/UJQ., �c9 ��Y,S�a��a�o �''d�t,� , �3 9c��,o.� <br />/ � <br />ANT:_Owner _OwnefsAgenl _Conlrac!or _Conlractor'sA9en1 �'enBnl�m�_uC�oMsakmrclmnumtomciea.nnbtonoM1nNo�ox+l <br />z <br />�G � <br />BUILDING PERMIT APPLICATION <br />FORPERMIT rQfulinJc.Je��s� <br />o�- J�, &.�.� -� r tf�—a�� t <br />2fJG Xro v �, � _� <br />f PRICE OF WORK —�P <br />Use of euilding � <br />d Use of Buiiding <br />type: _ Singie Famiiy _ Duplex _Townhouse _ Multi•Famity _ Commercial <br />irnied� New Addition Remodel Reoair T.I. Sion Sormkle <br />SCRIPTION OF WORK (atltlRional space pmv�oetl on me Datk): <br />�Chs �,// e� ,(.u,f^.o� �.�,�,� .. <br />MECHANICAL PERMIT APPLICATION <br />o1Pra�ect: _New_Addn _Alleration_Repalr <br />7 <br />o( Use <br />PLUMBING PERMITAPPLICATION <br />of Pm�ecL _New '�Addn _Allcrallon _Repalr <br />S�ow Number (M) olliriures <br />Grease <br />Olher: <br />� hereEy cerGty Nal 1 �aw reaE und eanmred Uis applkaLon anE Fnaw No same to Ee Ime antl cortecl. Au pmvrnns ol awi and oidmancee 9ovem:np Nu �rye of vre:k ni� Cu cemF���eJ <br />w:ih wheUc( spetifKG �ercin or nol. TOa Oranl�np al a permit aoca ncl pmsume lo prvo auTor.ry Io hol�le cr cor.vel It.c Ftmnan of any cl�cr smle or lowl l�w rcp��l�rq �onslmclion <br />1 �at I am aulhonmd �y Na owner ol Nia pmpeM �o peAomi Ne wcA lar whic� oppf<uton ie mutle an0 I mmpy n;h :'�e Slate Cc.�Vacm�s Len t 8 P HC:'J antl 79o2C0A V:AC <br />S � i <br />� wnerlAuthorized A9 l Signature Date (RevlSed 6RU11) <br />l{ �XJ. <br />� LL:J.r <br />