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PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVI(:ES <br />3200 Cedar St., Evereh, WP, 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO � PM <br />ennaFec• PROPEN7YTA%1 � .p,�RMRM r,,, � _ <br />IanowconsWclion: SMrtPlaVsubOi� <br />I � l�' (3 � u1 <br />f n'� �Y t? c�3 O <br />N l �A <br />BUILDING PERMIT APPLICATION <br />Usa of Buflding <br />P�l <br />3 <br />0 <br />No._ (atuch copy d bnp lapd dascripliwi) <br />PRICE OF <br />O] C'1 a.L•cF--t WP at <br />�.i`1 V�' [ �J � <br />_�'1'i' <br />��(J�? �u.Jcv-�c.:.blr.l� <br />L C',�'ucY(/..tf:.i'.i s-s•�- <br />�sed Use of Bullding_ �"i .�l L_ Gea_ etec�ric_ Olhcr_ <br />ng rype: _ Single Family _ Duplex__Townhousa _ Mulll-FamOy _ Commercial <br />otprojecl: _New _Addition _P.amodel _Repair_T.I._Sign_Sprinkler emdilian Cliange ofUse <br />riplion o( Work (eddlfiond space provided rn Ne Dack): <br />(�-e.v✓�o `Z �cv.�-�l.,y �'G.✓�oJ-FS ,wa-�Sl�--�� �Utt 63�.Ic�•-� <br />/� b L <br />� you ataAed working without e pertnit7 ,_,YES _�NO <br />PERMIT <br />ofProJect: _New_Addn _Allanllon_Repeir <br />Shn�u Num6e�l�1 O(flXftlfe6 <br />SYSTEM <br />PLUMBING <br />o1ProJect: _N�w_Addn _Alhration_Rapair <br />Other. <br />I hereEy ceAily lhal I hava read and ezeminod lhis epplicalion and know tha eame to De Irue and corted. All provisbns ol lawa and adirencea poveminp <br />Ihls typa of Hark will he complied with whelher apedAad hereln or not. The granOrp of a permil does rat pmsuma lo Brye aulMAty lo vldele w cancel <br />ihe provlsion of e y olher alel a cel law requleUng mnslruclion or the peAcrtnance of conatrucl'an. Thal I am authoAzed oy Ihe me�ar ol lMs property <br />lo peA lh fo xfik ap ication Is made arM I comply wilh lhe Slale Conlroclors Law 78.27 RCW and 298200 WAC <br />Ow arlAuthorizedAp� Signaturo Data (ReNssd7!lO71J <br />?e- 3o,s-i-k�o <br />�Zs-.s�, -35 or <br />