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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetlwa.o�rp7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �.� s— � Z <br />AD�rn RESS: /� /�p� PROPERiYTAKp p(�� RMITM/.��ry /' <br />1G'% � IC/IINiI/ �/� 1D�0' I���IJ"1—`7'7'� <br />IornewconsiNction: Shoh <br />(atlach copy of lang legal descnption) <br />•�27"[S� <br />i[ f� � I.v/f q9Z0 <br />�,Owner _OwnefsA�ent _Coniractor _Coniractor'sAgent _TenaNtmusiv�orbe.eiroro�wnumnommea.e�e.wea.o�inme�o�l <br />8 I lic. # <br />itnnni nusineaarvAme ••••�.�.,••� -••�- �•�••,4y��G <br />QW�'1 Y' <br />Phone/E�mail 1�� • <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK� <br />Existing Use of Building S t Y�3�!—� �SICfL�I�¢ H�+T <br />Proposed Use of duilding SI Y1,3�t QO�IdFnC� cas Eu <br />Building type: � Single Family _ Duplex _Townhouse _ Multi-FamBy _ Commemial <br />e of project� New Addition Remotlel Kepair i.i. sign apnnrtiei a <br />SCRIPTION OF WORK (add�t�ona� space provided on �he back): <br />2ema�-� de�J- 'ID /NYQ?�� POSS%�� �� <br />MECHANICAL PERMIT APPLICATION <br />o1ProJect: _New_Addn _Alteration_Repalr <br />COE Bus. <br />of Use <br />PLUMBING PERMIT APPLICATION <br />ofProJect: _New_Addn _Alteratlan_Repalr <br />Show Number (p1 0l /lxtures <br />Olhet: <br />Olher. <br />i hereEy ceM1rty ihol l �nw reoE and examinc0 ��iy applkalan ond know tho same to Eo 1m� and wrtect. AO pmvisions ol lmvs and ortlinencea Ba�emhq ihia rype ol�wrk x116e mmplietl <br />wr,l� whelher speufpd �neln or noL T�e 9raounp cl a pemiil Doee nol presume lo give r�tlmny lo NOWIe or cnncel tho pro�ision ol any olher slale or locnl law repuWimp conflmdion <br />that I om ouUiotlzeE by Iho ovmcrol In�s propciry to pcAoim Ilic �voM lor w�kh appbcr��bn ie inaCe anC I rompN w;h tno Slata Coniractor. Low 18.27 RCW and P98.POOA WAC. <br />,/�1 �,u�+-D <br />Own /A dho eJ Agent Slgnaturc Date <br />(Revised WZ011) <br />