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�. <br />PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.evereflwa.org <br />APPLICAT10N3 ARE ACCEPTED FROM ! AY TO 4 PY S—.I �-�I I <br />for new consUuction: Shorl PlaVwbtlivision Lot No._ (attadi mPY a�q ��P�) <br />� Ro bor ��osc � ri,a�-�i ZoG 3�' 3 Ff 3��� <br />lssos G«�+ �r. E�,,.�F9� ����� �ue�C-F�/�,,JA /9F� <br />0 <br />PERMIT APPLICATION <br />Q �PS <br />E OF WORK <br />� <br />b�( Iahc�po:.1�$�J��d, I <br />ca� <br />sting Use of Building Nuti1Q HEAT SOURCE: <br />�posed Use of Building �'� � K'1 Q Gw� Ekctnc_ Olher_ <br />Iding typa: � Single Family _ Duplex _Townhouse _ Multi•Family _ Commercial <br />�e of projed: �, New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _DemolOion_Change ot Use <br />ccription of Work (addifiare� space proviaea on Me baek): <br />�ePlace eX�S�r.�' $a% qns �urnact w�►ne�,l I�ke �or �Jk� <br />you ahrbd working wNhout a pertnk9 _YES <br />dProjacL• �New_AAdn _AIMrri{on�Rapefr <br />otProj�ct: _Nrw_AOdn _AIM�tlon_Rptlr <br />I �ereby certy that I have read and examme0 this application aM know the same to De true and cortect. Ail provisions of 4ws antl aAinences goverrurq <br />inis rype of work will be carnplied wdh xAiether specifieo herein a not. The prantirp ol a pertnit Ooes not pesume to pive autlariry to vidate a ranoel <br />the provision of any other slete or local law re9ulating oonstruction or the perlormarwe of consttudan. Thet I am auttarizetl by ihe ov�ner ot Mis property <br />to peAortn k�e xorlc for which application is mede and 1 mmply with the Stata Canvadas Law 18.27 RCW and 296.200 WAC <br />(Revised 1R0f 1) <br />