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( <br />PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM //J .. �1g �'( I <br />lor new wnslruction: <br />�r�a�� d- C�,�,s�/ <br />� 2.� �S/.� l. /a�,� <br />PERMIT APPLICATION <br />Use of Building <br />r� � <br />(atlach copy ot long lepel <br />yzs).fiy-3�9/ <br />PRICE OF WORK <br />SOURCE: <br />9 � 20� <br />Proposed Use af Building � ""'— "" "— " ••" — <br />Building type: � Sing�e Family _ Duplex _Townhouse _ Multi-Family _ Commerciel <br />Type oi project: _., New _ Addilion � Remodei _ Repair _ T.�. _ Sign _Sprinkler _Demotition_Change of Use <br />Descfiption Of Work (eddilional space provided on fhe back�: <br />Heve you nUrted working wlthout a pertnit7 _YES �NO <br />PERMIT APPLICATION <br />ofProJect: _N�w_Addn _Alterallon_Repair <br />Heads <br />PLUMBIN6 <br />of Pro�xt: _,Now _,Addn _Altcntlon _Repair <br />Medical Gas <br />Other. <br />1 hereby certity ihat I have read and examined Ihis applicatlon antl know the same to be true and cortecl. All provisions ol lews and ordinances Boveming <br />this type of wark wiil be complied with whelher specified herein or not. The grentl� ot a permit dces not presume lo give authority to violate or cencel <br />the provisi9J,� ol any other stete or local lew reguleling constructlon or Ihe perlormence ol conslrudion. That I am authorized Oy the ormer of Ihis property <br />to perioy(�he work fotwhich application is mede and I comply with the State Contredon Lew 18.27 RCW and 298.200 WAC <br />ia <br />Agent <br />���;��o,,, ��a <br />