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PERMIT APPLIGATION <br />BUILDINGIMECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLI710N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425•257-8810 — FAX 425-257-8857 —www•everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM ! AM TO � PM <br />Fi�..d <br />PERMIT APPLICATION <br />uss ot Building <br />(ethM toPY a �q kW dawlptbn) <br />f -(P�17- (a�0 c <br />rn . ��/,4 �Za <br />PRICE OF WORK <br />�sed Use of Bullding "-- <br />rptype; �SlnpbFamity _Dupbx Townhousa _MuIH•Famiy _Commerdal , <br />o}proJect _New _AddHbn ,_Rsmodel _Repak_T.I._Sipn_Sprinkkr�Demo�idon_Chmqe otUia <br />( ti0t1 of rlt (eddllbnal apecr Wded on lM Decic) : L�� � <br />,P�,��`°-��.. o�'° 2 �� % <br />you starbd worklnp without a qrmit9 _,YES LNO <br />PE <br />ofProj�et: —Nnv_Addn _Alhntlon_Rep�ir <br />ofP�vjM: _N�w—Addn _Albntlon_R�pNr <br />Other: <br />1 hereby ceANy thet 1 have read end examirred thle appllutbn and kiww tM uma to W Mw aM corred• Atl pwisbtn M M�n �rM adin+na� 90'�^��^Y <br />thla NPa ol �wrk vAll be complled wtM whellier epecifred heraln or not. TAe Onnl lnp of e perm0 doe� not pesume ro pivs �uNalty to vlW�te or ancel <br />the provlabn ol arry o r stele a lacel law reputetinp conrinatbn or tM D«famma b�°^��b^• mat I em eutlwA:ed by IM ownsr W Mh pmperN <br />to peAortn lhe � ich � p�etbn h mede arM I canpN �� Sbb Contndon law ts.27 RCW rW 2oE.Z00 VJAC � <br />� 5-1-�2 <br />pwn�rlAUN rI '9 n S u D�ts (R�vfadYlUf1) <br />