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� <br />PERMIT APPLICATION <br />BUILDINU/NIECHANICAL4PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY C)F EV�RETT FERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-BE10 - FAX 425-257-6657 - wvvw.evereriwa.o��qj <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �. ' 7 y� Z <br />ADDRESS: M PROPER7Y TAX Y P Q!� n �_ n� � <br />,� ,� ...!- -�- <br />fornewconsWGbn: Short <br />2 '��sr sfi, <br />PERR7IT APPLICATION <br />.&ILic.# <br />9'02�r <br />(attach copy of bng legal descnption) <br />PRICE OF WORK <br />; , . <br />Ixisting Use of Building �:Gw <br />'roposed Usa ot Building S! � Gas_ Electric Other_ <br />iuildingtype: _SingleFamily _Duplex_Tuwnhouse Mulfi-Famiiy _Commercial <br />'ype af project: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler_Demolition_Change of Use <br />IeScriplion ot Work (etlditional space provided on the back) :�// Yf-o L �Q , �,J �^L �j(, ( f�'�Gl <br />Re-I-c�.��.�vk� �6f � gu.� (c� �r,�. �.�1-a��6.�1 �,L..c�C( (.�' nbove9rad.e <br />lave you started working without a perm(t? _YF.S �NO <br />MECHANICAL PERMIT APPLICATION <br />ProJeck _New_Adtln _ Alleratlon_Repeir <br />Show Num6er MI o/ flittures <br />SYSTEM <br />PERMIT <br />ofProjecL• _New_Addn _Alteradon_Repeir <br />Olher: <br />Gas <br />I hereby certity ihet I have read and examined this application and knax lhe same lo be We end conecL NI provisions of laws and ordinances povani� <br />this type of work vnll be complied with wf�ether specified heiein a nol The B�nting of a pertnit daes not presume to give authority to vidate or cencel <br />the pmvision of any other state or local lew reguls6ng consW ction w Uie performanee of construction. That 1 em authorized by Ihe wmer of tlus propertY <br />to perform Ihr�oAc for whi appli tion is made anA I wmply wiN the Stete ConVaUura Law 18.27 ftCW end 296.200 WAC <br />�/liL�c �G�G/GLv /—�1--/� <br />� <br />OwnerlAu�hodzedAgentSignature Date (RensedY����) I� <br />