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PERM�T APPLICATION <br />BUILDING/MECHANiCAL/PLIJMBINGlSIGN/SPRINKLER/DEMOLITION <br />CITY OF �VERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />(�G L'V ��.'�'[ APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Z�-/ 3—/ � <br />ADDRESS: PROPER7YTAXp PEH� �Tp <br />!L fl �Ii,�Yf �l' .v�GLL r.�OV (�W17�/J�-MI <br />fornewconstruciion: Snort <br />� <br />_Owner �O.vnefshqenl _Conlrector _ContractofsAgent <br />LDIHG PERMIT APPLICATION <br />Use ot Building .i�f'D <br />aroposeduseoreui�diny .t�rE RESatE <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi•Family <br />iype of projed: New Addition Remodel Repair �.I. _ <br />DESCRIPTION OF WORK (aduit' al spaco p/ovlded on fhe back : <br />f�IJD Da0r5 u,vc� �,.inG6s UPS�a; �S <br />/�� ��C r�'pY ONL�/ <br />MECHANICAL PERMIT APPLICATION <br />ofProJect: _New_AEdn _AlteraUon_Repalr <br />of <br />No._ (altach copy ot long legal descnption) <br />� <br />(musl pmMe o b:.er olwiuen: hom Oo wmv m aona;k in Mo ipam) <br />PRICE OF <br />�' �G c✓5 U <br />10.60 <br />4T SOURCE: <br />Electrie_ Olhei <br />on Chanae of <br />PLUMBING PERMIT APPLICATION <br />of ProJect: _New_Addn f� plterallon _Repalr <br />Other: <br />I herety eenity Nal I haw renJ untl examned Nu application anE know Iho samo lo bo buo and rnrcen. M provisian9 al �w� nnA oMNancce povemm0 NU typo olwork v.�0 be wmp4N <br />wnh wheNer speafied �eroln or not. 7�o prantinB ol a pe�mlt tloes nol presuma lo pNo eulAoriry lo viot�lo a cnncel lho pmNsion ol nny ot�er sWlo or lowl bH mgulalhp cansW tllon <br />Thal l am auNaAzM �y No owncr ol Nis Mopery lo pert iheYvor forwhich appGcoiion � matlo and I mmpyvAh No Slato Conlmdon Law 7827 RCW antl 298.700A R'AC. <br />IAuthoAzed Agent Sl�naturc Datc (ReNsed 6/2017) <br />�Iz <br />