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� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everetlwa.o(g`�r <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM / O` a�/ <br />---__�... PNOPERTVTAIfN �RMIT/..... h� <br />for naw conetrucllon: Shorl PlaVsuCdlvielon Lol No._ (�tlach copy ot lorq IepH de�eAptlon) <br />I Lic. � <br />�s- s i� - <br />PERMIT APPLICATION ICONTRACT PRICE OF WORK ��� a" <br />Use of Building <br />Proposed Use of Building � — - <br />Building type: _ Single Femily _ Duplex Townhouse _ Multi-Family _ Commercial <br />Type ot project: _ New _ Addition _ Remodel ,_ Repair _ T.I. _ Sign _Sprinkler _Demolition_Chenge of Use <br />oeacriononotWorxledd�nona�spaceprovldedonmeneck): �GLoc.ATsa�.r O�(Th5 /`�LGr�`� <br />you aqRed working without a partnit? _YES �NO <br />ofProNcL• _Nwv_Addn _AlbMlon_R�pdr lyp�otProMel: _Mw�'—Addn _Albndon_WWir <br />er�... w.�A.� MI n/ Nef�Y�l <br />/ <br />of <br />Other: <br />Gas <br />I hereby ceA�b �hal I haw read and ezemined Ihis applkatbn anA krrow tM same lo be true end corted. M prov�eions ol l� md oNin�nas povernlnY <br />this type of vroik will be complied wiM whelher speGfied herein or not. The pr+nNrp ol � permN Eoes rat prosune lo pNe aulhorMy to vlolats ar a�nal <br />tlre provision of any otMr alate or local law rapulating conntnkNon or tM peAorm�nce of construclbn. TT�t I am aWf�orlied Dy the owner of Ihb propMY <br />to peAorm� work tor whi� ap�albn is mAe and I comply with IM Slds Coatndus Lnv 18.27 RCW and 2%.200 WAC <br />(ReWaW ?/1011) <br />