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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 42�257-8810 FAX 425257-8857 www.evereriwa.org <br />APPLICAT10N5 ARE ACCEPTED FROM! AM TO 1 PM <br />ADORESS: <br />TAIf N <br />fwnewwrsfiction :Ao�P1aVw0Aiv'aim LotNo._ (aCaMooqol <br />_ Ovmcr _ Owinls Ayent <br />PlRMIT APPLICATION <br />_ContrattofSApcM _TenaM�m�apm�eeakm'otmimntnmineo..:emm.mkhAemo) <br />COE Bus. Lia <br />PRICE OF WORK <br />Existing Use of Buildi� S�i� I <br />Pmposed Use ol Building S l^� C <br />Building type: �Single Famity _ Du{dex _Townhouse _ Multl•Famiy _ Commardal <br />DESCRIPTION OF WORK (ed�ore� spee pwiiieem me wcR): <br />v.fc�b�E � RE��At� FRon1r Et�,�� ?or2ca <br />MECNANICAL PERMIT <br />ofProject: _New_Addn _AIORNon_FOepiir <br />Gas <br />P�uMsiHc <br />Project: _Ne�r_Addn _AIEQatlon_Repair <br />Other <br />I �emOY ��V MM I law �oaO entl eaamnetl tlis appiuEon and Imowtlre same ro Ea We enE mrted M pmnsons a1 trxs antl a�naricos povem�p q6 rype a/wafM v.d b complad <br />v.M wlrct�et specdretl hcrein ot not ilie grandq af a pertn4 does not pesumc to �.�a auMwrty N wmM or �ncel Me pmvean ol a�r aE�erstatc or lool tw�epulatm9 ��� <br />Tlwt I em auMor¢eC tr� No wmer at Us pioRN'ro R�+� �e wk far �M[li a{y6camn rs ma0e and I wmpy wN IM 3ate Contraaars taw 1B 27 R(,1N anE Z96.700A WAG <br />� IZ•►8-13 <br />OMnvlAutlioNZM gentSi�xNre �te (Rensed62�/2/ <br />\ �/7.- <br />