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Mar. i6. 2012 2:14PM EVERGREEN STATE HEAi & AC <br />� <br />P�RMIT APPLICATION <br />'Jo. 1;'c <br />BUILbINGIMECHANICALIPLUM6lNGISIGNISPRINFCLERIDEMOLITiON <br />CIN OF tVERETT PEtZMIT SERVICES <br />3200 Cedar St., Evere(t, WA 98201 - 425-257-8810— FAX 425•257-8857 --wvnv.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM �� I 6� ���' <br />-'J <br />ShnA <br />�� <br />�L�.d�y �r�-� <br />PERM17 APPLICATION <br />Use af Building <br />(aUach copy of long legal <br />UF <br />-3��� <br />a <br />Proposed Use of Building '��� ' ' � �"' � -- — <br />Duildingtype: _SingleFamlly _PUplex_Townhouse _MUlll- nmlly �Commerclel <br />Typeofpro�eU: _New,_Addilion _Remadel _Repair�l._Sign„_3prinWor,_�emol„Ion_Change ofUee <br />�eSGtiplion of Wotk (edd/lionel spnce provided�6ac J: , n � n � � ` � \�� , � \ <br />��9.XYLbV�Q ��° �U✓ll'�a(.2a ��- ,,. ,�t K� w <br />Have you staHed worklnq wlihout a permit? YES �NO r � � �� � <br />PERMIT <br />ofPmject: _Naw_Addn _Alterai�vn_Repelr <br />Show Num6nr (7!) o/ Oxforos <br />heater <br />PLUMBING PERMIT <br />o(ProJacL• ,_New`Addn _Allaratlon,�opalr <br />Medical Gas <br />Othor: <br />I hereby ca�Ufy Ihat I have read end eramined lhls eppllwlbn ard kraw Ihe sonie lo be we aM oo+reG. AII proWslons of Iewc end ordinences goveming <br />thls lype ohw�K vAI he campied xilh �N+eiherepeu�ad herein ornol. The granlirl9 0l e pertrilt doee nul presume lo gNe aulha7ry lo ddale or wncol <br />•ne provlsbn oI any ouwr slaie or local!aw repuia!1np conslmGion cr Ihe pedormenra o� wnsWclion. Thet I am tultwrlred by Ihe ow�xr ol lhls propeAy <br />lo!!! p111eAortn Ihe uwk forwh^lch app�lc.ylai Is mede and I oomplyvAtli ��a Sla�e Contraclas Law 1E.2T RCw und 296.200 WAC , <br />�I .4/�'�1='/1(7,,l —���' " r) �-Ip� (Ravlsed?Ro11J <br />OwnerlAulllo�zpd A9an� 919�»�uro <br />� <br />