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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLI710N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8657 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTE� FROM 8 AM TO � PM S"D �"� Z <br />ADDRESS: zZlS ivtIN1�R Aue Ppp� jyT y 72�D70L� PERMIT� _ U2� <br />newwnstrudion: Short <br />_DE� �I i«MAN <br />2215 %AINIE2 .Q-i�ti <br />1CTOR PAC�nc L-sA�A <br />z D� 4 C��gy ,dv� <br />PERMIT APPLICATION <br />7 1� (atlech wpy ollong legel desaiptloi <br />yzs z 3S �3c-� <br />�vEerrl"' Wi+ 9�201 <br />1`�ACIFFaS L`+k331.- <br />Fcl.p)SoAt ��� <br />PRICE OF WORK <br />.Yciov PP4c�S..�u�.SrS .ru. <br />y1S �D?i �I7S�Z <br />hc�nht4�S. �N� <br />ng Use of Building l A�-F hen� suunce: <br />ised Use of Building C�p "n�' Gas Ekciric__ Other <br />ng rype: _ Single Fe/mily _ Duplez Townhousa _ Mutti•Family _ Commercial <br />of projecL• ._ New L Additlon _ Remodel _ Repair _ T.I. _ S(gn _Sprinkier _�emolition_Chenge of Ux <br />�iption of Work (addifional spaca provided on fhe back) : <br />9 Gi44P� rv F_x,:rr.ua ta��• <br />C'oN s rn.��r � � � <br />you atartad working wlthout a permit7 _YES _/ <br />PE RMIT <br />ofProJacl: _Naw_Addn _Altaretlon_Rapair <br />SAew NumAer !Nl ol flXtules <br />PLUMBING PERMIT APP <br />o1ProJeet: _N�w_Addn _Alt�ntion_Rap�ir <br />Show Num6srl�) ol flxfuros <br />Other: <br />Gas <br />I �ereby certiy that I hava reatl anC ezamined this applicatlon anO know Ihe ume to be iruo and wrrect. All piovisions ol laws end ordinancea poveminq <br />t�is type ol work vnll be complieG with whether specifiM herein or not Tl�e yranllrp of a permil dces nol presume �o give auNonty to vidate or wncel <br />the provision al any other state or laal law regulaling co�slrudion or Ihe perlorme�e ol conshuclion. That I am aut�orized by the owner ol thia pmparry <br />lo perform t �ork for which application I5 maCe and 1 compty wllh the Stata Cml�aclors Law 18.27 RCW antl 298.200 WAC <br />i/�l'�i�'� � �l�l z <br />Ow ar(4ulhorized Agent Signature Date (ReWsed 7/2011) <br />�/ Z <br />� <br />�� <br />