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PERMIT' .+4pPLt�AT90N <br />BUILDING/!'VIECHANICAL/PLUM3ING/51GN/SPRlNKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 —www.everetlwa.org <br />APPLICATIONS ARE ACCEP7'ED FROM 8 AM TO 4 PM '--GI �l ?' <br />ADDRESS: PROPERTYTAXp PERMITp O � <br />f� !/I ����� n,� � 3 __ � �4 - 1 <br />,L for new wnst�uctlon: Shorl PlaVsubdlvislon _Lot No._ (a��ach coPY of long Iegal descriptlon) <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />PRICE OF WORK <br />�sed Use of. B/uilding _ '--- -�-- �'— — <br />ng lype: v Single Family Duplex_Townha�us/e _Multi-Family _Commercial . <br />ofproject: _New _Additfon _Remodel J�Repalr_T.I._Sign_Sprinl:ier_Demolition_Change otUse <br />ripllonofWork(addifionalspacepreWdedonfhebach): y�gUllU����'l}�CY(7���� � <br />��orc��r�� a F' �yo�� � �uu ll, �f f�a� � a i,c�%I.�, S��ee�-rceKi I �T <br />Hav3 you started working without a permit? _YES � NO <br />PERMIT APPLICATION <br />otPraJecl: _New_,Adtln _Alleratlon_Repalr <br />Show Number (ql o/ /lafures <br />of <br />pLUMBING <br />ProJecl: _Now_Addn _Alteration_Rspalr <br />Olher: <br />Olhec <br />Gas <br />I hereby certify thal I have read and examined Ihis 3pplicallon snd knaw l�e same lo he ln�e and correcl. All provisiore o( laws and ordinances goveming <br />this type of vrork wfl� be complied wilh whether spedfied hereln or not. Tho granting of a permit does not presume to pive aulhariry lo violala or cancel <br />tho provision ot any other state or laal Iaw regulaling conslNction or lhe peAormance of conswdion. That I am aulhorized try the owner of this pmperty <br />to pedorm the work (rr whlch applicatlon Is made and I compy with the State Contrectaro Law 18.27 RCW and 29B.2uo WAC <br />� W1P n>4 G c_ _IZ <br />Ownc lAuthorlced Agant Slgnaturo Date <br />��0� �� <br />(Revised 1/20f i) <br />