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�� <br />t <br />PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGNISPRINKLER/DEI110LITION <br />CITY OF EVERETT PERMR SERVICES <br />3200 Cedar St., Everett, WA 98201- 425-257-8810 — FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM ! AM TO 4 PM y� a 3�-I Z. <br />I1BW COMhUC11011: SIIOA <br />fOR <br />PERMIT APPLICATION <br />Use oi BuiWing _ <br />aiuG�e <br />(atlech wpy of b�q <br />� <br />�rz-f0�� <br />yosed Use o�uilding � "•' - ----�-- _ — <br />Id�ng type: Single Family _ Dup�ex Townhouse _ MuMi-Family _ Commarcial <br />b oi proJect: _ New _ Additlon _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_,Change of Uae <br />�piptfon of N'ottc (edaiNonal specs piov7ded on Me becl�: <br />��s���� N� ����) w��� ���5 wa�i .���.� <br />ra you starbd work ng wiMout � parmit7 YES [�,NO .- <br />o( proj�t _1Nw _Addn ,bAlbntlon _R�p�ir <br />S�ew NunMrMl o/N�t <br />� hereby certHy that I have �ead end exan <br />Mis type of II be compibd wit� wh <br />�ha provi n ot an oMer state or loal le <br />to pe im ihe lo fv)N(ch applicatlon <br />ot ProNet: _INM' _Addn _Albntlon _RpNr <br />�Aedkal Oas <br />Other. <br />�Ncatlon krww Ihe wme to De We and catsd. A1 povbfons of Iwv� �nd adNwna�i 9nwmlrg <br />�an�a nareu� oa. ma owMi� or ■ Pe�mn eoaa nm pesu� ro a� wnwmy �o vta.is a anoei <br />tinq conakueli a the paAamance o1 canWcHon. Thal 1 am �utAal[ed Dy ths ow�er m INs WoPsNY <br />arM 1 comPb � Jb Stalq,ConUacton Law 1E.27 RCW and 288.200 WAC <br />�" <br />(psdis0?/1071J <br />