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c <br />� <br />PERMIT APPLICATICIN <br />BUILDINGIMECHANICALi�LUMBINGISIGIdISPRINKLERIDEMOLITION <br />CITY OF EYERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 -��25-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM _ <br />fanewconstruction: Slwrt <br />PERMIT APPLICATION <br />Use oF Building <br />Use oi Building <br />>t No._ (attach copy of lorg �epal desc <br />nan H�, 3T3 �-!/u0 <br />Z,P G.,��-o-++ wel 4 <br />a �t (oa r„�9 �- ��l <br />Phcne�Email � �CG� � {%'N <br />�T FOR PERMIT <br />nail <br />�CT PRICE OF WORK <br />ng type: K-Single Family _ Duplez _Townhouse _ Multi•Family _ Commercial <br />ot proJect: �` New _ Addilion _ Remodel _ Repeir _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />cription of Work (addifional space! p�rov"ided o_ n the batk) : 1'�'��� J, <br />�,,p�a � Y y•g rry �_„•: v.et.c w. , 4,1. v.cs <br />you started working without a pertnit7 _YES X. NO <br />MECHANICAL PERMIT APPLICATION <br />NPro�act: �Now_Addn _Alteration_Repalr <br />Shew NumbarlNl ol flrturos <br />PERMIT <br />olpro�act: _New_Addn _Altentlon_Rep�ir <br />Other. <br />Gas <br />I hereby certily that I have read and examined this application end know the same to be true and correct. All provisions of laws antl orCinances poverning <br />ihis type al work will be complied with whether specified herein or not. The granling ol a pertnit tices nol presume to give aWhodry lo violale or cancel <br />ihe provision of any other stale or local �aw regulating conSlruQion a the pedortnance ot wnstruction. That 1 am authorize0 by the ownM of ihis property <br />to pertorm the work for which epplication is made anA I wmply vnlh Ihe State Contradors Law 18 27 RCW and 296200 WAC <br />r A � � %� C�u., � � � � d � .�� �. <br />OwnedAuthorized Agent Signature �a�e (Revised?R017) <br />