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PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8910 FAX 425-257-8857 www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��7' ��I Z <br />ADD�t�B'.� ./ �/ � ... n���_�^ PROPERTYTIU(M �j�.j/17�— ��/ <br />new construction: <br />3 <br />_ Owner _ Owners Agenl <br />Z17.0 <br />No._ (apech copy of long <br />Contractar _Contractor'sAgent _TenaMpm,�ipo.,a.i.mracon..mrtomu+eon.rromww�nur+v.al <br />��fi� � O T2��1' <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existing Use of Building <br />Proposed Use o( Building GE <br />Buiiding type: _ Single Fa Iy _ Duplex _Townhouse _ Multi-Fsmily _ Commerciel <br />Tvoe of oroiect New �Addition _ Remodel _ Repair _ T.I. _ Sign _Scrinkler _[ <br />:SCRIPTION OF WORK (additional spece prvvided on the back) : <br />hDo � 2n���t -cvP� H�x. <br />�� � ��c � <br />PERMIT <br />of ProJaet: _New_Addn ,�Attantlon _Rapalr <br />Show Numbar (M) 0/ flxturoa <br />of Heads <br />F.'�•. <br />! <br />APPLICATION <br />of Pro�set: _Nsw_Addn _AN�ntlon _R�pNr <br />Show NumMr fN1 oI flxtuns <br />Other: <br />Other. <br />I �eroby ttMy Ihnt I Aave re�d antl examhwd thia �ppNCNwn snd know tM eeme to Ds tnro and ooned. A1 p�ovisbna o1Wn md ordln�ncef povamhq t�4lyps d v�wk wil Us compfetl <br />wM wTeNar apecilled heieln a not. TTe qranlin9 �� Pe�� doe� nol preeurta to pNa wlnorNy to vb4ts a cnwl t�a qovi+bn W anY �K � a�I W npulMY�p conMMbn <br />Tl�al I am aN�orized Ey t�e ownm oi t�if propehy to perlwm Ihe v.ork fw wTIM �pplkr.�ron � m�de md 1 compy wM tM SUIs CmhWon Liw 1E.77 RCW ��� WAC. <br />�OD=�- � 2' <br />5- « <br />C.�14AJlOthoriz e�t SlBnature Date <br />(Revised 6201z) <br />