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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINFCLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES /n �31 ��Z <br />3200 Cedar St., Everett, WA 98201 425•257-8810 FAX 425-257-8857 www.evereitwa.org <br />.4PPLICATIONS ARE ACCEPTE� FROM 8 AM TO 4 PM <br />loi newwnstruction: Short <br />_ Owner _ OwneYs Agent ,_ Contraclor <br />L� <br />o.� <br />p <br />�7rJ/10 U 3 ) U <br />Lot No._ (altach copy ol lony legal desc6plion) <br />�/�O � I o '� <br />����Y�S��,�;z�P E�i�� ii l�A <br />COntf3C�0i5AgCn1 _Tena0l�musi0�m�iaaebMrolconsemncmm.avanerroCow�dinmespau7 <br />��L&ILic.# 5� <br />L✓ ���i�12%s(//CC <br />BUILDiNG PERMIT APPLICATION <br />t jrJ��'IPhone/Email ��s� <br />:ONTACT FOR PERMIT <br />�c.C�•,• �.,� � rN <br />�hone/Gmail ��Z 5� .Z /� <br />:ONTRACT PRICE OF WORK <br />Use of Builtling 5 /N�« /''`''•" ���/ � <br />d Use of E3uilding �� �j�� F — <br />type: �SingleFamity _Duplex_Townhouse _MWti-Family _Commercial <br />_._.__,. .�.,,.� e,ud�n�� ii Ramndel Reoair T.I. Sign _ Sprinkle <br />5 .� /c l ,'/ o <br />DESCRIPTION OF WORK (additional space pmvideU on the bac:�): <br />��i/JD ia o�r�., /�,.C' /,NTf'�"�-7-0 -F'L��'nt o� o�rsP�, <br />MECHANICAL RERMIT APPLICATION <br />o(ProJect: _New_Atltln _AticraLon_Repair <br />Shm� Num6er lIXI o( IA7ures <br />air <br />PLUMBING PERMIT APPLICATION <br />ofProJecL• _New_Rddn _Olterollon_Re7air <br />�howNamber(H1 o/Oxfures <br />Other: <br />I � NumberafHeads II i vmer. � <br />I here�y ce�M �hat I �avo read antl?ceminetl Inis applicalion onC knmv the same lo bo imo anC rortecl. A!1 provisions of Imvv and ordinances goveminB •iis ypo ofwo�k vnA Oe compiied <br />erA� wtielher speci0ed herein o� not. Tha pranlin8 0l o pertnit tloes not presumo lo give oW�onry lo violale ot cnncel No proNsion of any other stale or local law repuWfinp conslmction <br />T�at I am ouNonzetl by ihe awne� ol Nis pmpeM �o perlorm Ihe work lor wnkh opplicnlion b mado antl I cempy w0.h lho Slato Contraclors Ww 18.27 RCW antl �99100A WAC. <br />/ r // <br />��J �/'�.-� /'\l<t%,'�jf �C � � '/� <br />iOvmer/Aulhodzed A9enl SlgnxWm Date (Revised W2012) � <br />