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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <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 8 AM T04 P�7 <br />lor new conslmction: ShoA <br />Y- <br />PERMIT APPLICATION <br />Exisling Use of <br />Pronosed Use � <br />fL�1 �'�IO�NG� <br />_ (attach co� <br />� L� � <br />/i v�xlLrT7 <br />LGSz,SG�3 <br />Phone/Email <br />OR PE MIT <br />!�� ��il'/�!� <br />PRICE OF WORP <br />ol iong legal desuiption) <br />1 -�� 9aU <br />.-3� /- <br />3uildinglype: �SingleFamily _Duplex Townhouse _Muitl•Family _Cammercial . <br />fypeofproject: _New _Addilion /1Remodel _Repair_T.I.,_Sign_Sprinkler_�emolition_Change ofUs�n �/ <br />7e5cription of Work (additional space provided on fhe backJ :�,yw p,;�i p,ld /%iw�'�/�'c� if��QlL�' �� f"R"��V �� ��� <br />Ex,an��� �q�_/t/A/� F.,�.��f.�'cd S/1'�t!'. �tst' �,4c irt%i/ilyio.✓ �•rs�S7-�s.�'=6cf!bl5"„�` ' � /c_ <br />�lu�•n. kr �Y, ('�a�rn-� �l /�;, dt�. ,r ,•�2��t, r%,Inm�,,.7�, � <br />Have vou started working without a pormit9 �YES _NO �' n�'� +�` v-JU� r.�%� �''���' n� ��� <br />RMIT <br />ofProject: _Now_Addn _Alleratlon_Repalr <br />. SNowNumber(k)Mllxtures <br />PERM IT <br />ot ProJecl: _Now _.Addn _Alteratlon _Repair <br />Medical Gas <br />Other: <br />Other. <br />I here6y certiy lhat I havo cead and examined this applicalion and know the same to bo Irue and correct. All provisions ol laws and ordinances goveming <br />Ihls lype ol work will be complied ��dh whether specifed herein ot not. The Branting ot a permil does nol presume lo give authority lo violate or wnccl <br />the provision ol any other state or laal law regulat'.ng constructlon or the pedormance ol conslmction. Thal I am aWhorized by Ihe owner ot this property <br />to pertorm No �wrk f �r�xhittf'2pptteel�a Is made and I compy wilh the Slate Contraclon Law t827 RCW and 298.20o WAC <br />/ �/,��%l(.%� /j <br />OwnerlA rt o d Agent Slgnalure Dale (Re�•�sed7/207Q <br />