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l ' <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAUPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.evereriwa.org <br />qPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ���3 "�� <br />fornewconslruction: ShoA <br />� i r�T tt� (Z1N <br />2���1 li <br />ACTOR �T C7 H <br />�� �e� � �-� <br />PROPERTY TAX N <br />1 it 1 e ,T �� 'e . <br />u6division Lol No._ <br />� QQ L PhonelE•meil ' <br />� � R � CilylStete2ip <br />:,(L ' C 0� L 8 I Lic. # g <br />- �},s�• �t Ib F <br />BUILDING PERMIT APPLICATION <br />Exisling Use of Building <br />PERMITA <br />(ellach copy ot long legel description) <br />S. ��9� � Z s''� <br />20� 9 o�{n! 4_ <br />:mail 2�- bq� . �' I <br />�T����-�yG.CO.�n <br />PRICE OF WORK <br />HEAT <br />Proposed Use of Buiiding � -"" - -- — <br />Building type: �Single Family _ Duplex Townhouse _ Multi•Family _ Commerciel <br />Type of project: _ New _ Addition %� Remodel _ Repair,_ T.I. _, Sign _Sprinkler _Demolition_Change of Use <br />DescriptionotWork(edditionalsp`aAcelp�ro�v,iCde�nthgbeck):�1 CltS+� il� �q�� P'���`�' �tP"�'`°�'� `9r�^ko <br />; 4� �-�.�K-1 � S 5 v.e.t <br />u�d }..5}�t� u.�a1�1' S�'��i G2 <br />Have you sWAed working without a pertnil7 _YES �NO <br />PERMIT <br />ofProJect: _New_Addn _Alteralion_Repalr <br />APPLI <br />of ProJact: _Naw _Addn _ANentlon _Repair <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM � Other: �,}kTG.CL.. �.T /`� � <br />nlumher of Heads � Other �1.�AT'i� �Til �l <br />I hereby certiy that I have read and ezamined lhis application and know lhe same to be true and corteM. All provisions of laws end ordinences goveming <br />lhis type o1 work will b mplied with whether specified herein or nol. 7he granting ol a permit does nol presume to give authorily lo violate or wncel <br />lhe provislon of any her ate or Iocai law regulaling construction or the performance ot construclion. That I am authorized by the owner of this proparty <br />lo perf rm 1 e work 1 r wh: applicalion is made and I compiy wi Ihe Slate Contraclors Law 7827 RCW and 298.200 WAC <br />�. 2 3 .1-O `� <br />Ow rlAuthorize A S ute Date (RavisedYL011J <br />� <br />