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Dzc.21. 2011 3:44P61 No.3§23 P. 2 <br />( l <br />PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGNISPRINKL�R/DEMOLITION <br />CIlY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 426-257-8857 — wwW.everetiwa.org <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO � PM � a�a-i "%/ <br />ADDR 55: 7ROiERNTA1f11 P R IT� <br />�w-��b._�L ��,._i L.�o tmei.l�tJAQC�s�Z ot�t4,�1Acr�n2t.ot� 1112-OSIo <br />fornewwn�ttuctipn: SnoR <br />8 I Llc. p <br />dU1LDING PiRMIT APPLICATION <br />(atlaetl eopy of bnp lepai <br />PRICE OF <br />f' <br />ng Use ot Building ��P HEAT SOURCE: <br />i5ed Use of BUildiflg �� Gas El�ctric OIMr <br />ngtype: �SirgleFamiiy rDuplex Townhouse _Multi•Femily r,CommWdal <br />of pioject: _ Nmv _Additlpn _ Remodel _ Repair _ T.I. _ Sign _SprinklEf _DemollUon_Chanpe ot Use <br />�Pea�o�wark�xa;e�on.��Penwo�awonrn�ea�k�:��c�h�1�4rJ(, j>�Li'►,GSS �4�"�+r1P�(S�f�G�•T1�C� <br />Heh� �Nc+ wiw p-�-WrA�4�o o� �ivt�b RmN► wq�L� <br />f4N0 'f►�2. hi�i�-}' I�JM� W{�t� StG LoC..�i�0 <br />you StaAed workiny wHhoW a parmlt7 _YES �,/ l�0 �k�/O �'�[ NoM.e. <br />MECHANIC�L PE RMIT APPLICATION <br />ofP�ojxt /Naw_Addn_AlltnUonr,R�pa(r <br />IT <br />ofPro�eot:�Nerr_ACAn AlNration_Rep�lr <br />Other. <br />ome�: <br />Gas <br />I hefeby certify that 1 have racd and examined Uis aOaiaGon and know lhe a�ma �o Ee Irue On0 fofrctt. All provision� d law� anC orOine�ces qo.�emirq <br />Ihis type of work will be compYfd wtlh whethef Spaih�d hmin or naL The pr+nbn9 of a pefmi! Uoes nol prisume la pW� �uthoYry Io wd�le or ancal <br />lhe prorislon of any olher sGte or loc■1 I■w requ0tltg wnSVue6on or Ihv paAarmance ol eonstrucUon. Thil I am auMwr¢�d Oy lAe owryr of U�s DroOC�v <br />lo pe rtn Me xark br wfiWA applltotbn is moda antl 1 compry wilh the SUIe CoPtfaclon Uw 78.27 RCW and 2D6200 WAC <br />, A IZlZI� <br />OwMrMWh iadApenlSlgn�Wre Daie (Ravisad7/201]) <br />