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2U �2e�32-�t <br />PE,RMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRI�lKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everelt, WA 982�1 - 425-257-8810 — FAX 425-257-6857 —wv�nveveret a.�or�`' � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM pER T N <br />PROPERNT �O '(�I <br />ADDRESS: � _ � � �'� �L! D <br />r�� <br />Lot No.� (attach copy ol long �e8al desuiption) <br />AL/ornewconslruclion: ShoAPlaUsubtlivision ���� �A` � <br />a ��,���-r phone/E mail <br />VER �IW'�G I�i I �AL�Jl� W R' 40 �� / <br />N� <br />PERMET APPLICATION <br />Use of Building <br />8 I Lic. # � .1�O7 n <br />�jV PhonelEmail �'2'i ��' ' ' • `� <br />'�ONTACT FOR PERMIT <br />�hone/E�mail <br />�nNTRACT PRICE OF WORK � <br />�oposed Use ot Building <br />uilding lype: k Single Family _ Duplex _Townhouse _ Mull'iT i m-y Sign Co Sprinkler _Demolition I'6hanga of Use <br />ype of projecl: _ NeW —Addition _ Remodel _ Repair _ <br />escription of Work (additional space p vided on fhe bacX): <br />�� y,.,,_ �� �.�.�¢� <br />�aveyoustartedworkingwithoutapermit7 _YES �NO e� ��u�nING PERMIT APFL�CATIC <br />�� <br />ol Projed: ,LNaw—Addn _Alteratlon _Repair <br />Addn _Alteration _Repalr <br />ProJect: _New _ _ <br />Othec <br />� NUf110ef 0� neeaa <br />I hereby cehi�y �hat I have read antl eaamined Ihis applicalion and know the same to De We and wrtect. All provisions ol laws and or0inances goveming <br />this rype ol work will be wmplietl wlth whether spe.;ifed herein or not. The 9�anling of a permil dces not presume to give authority to violate or cance� <br />lhe pfovision of any olher State ��lita ona 5 matle a'nd I comp�y`��h �hens�a�e �� ceors Law'18 27 RCW alntl 298 200 WACy �he owner ot this propefty <br />topedormihexnArI� �orwhich�pp� <br />� J/ � L ��1� (Revised?/Y077) <br />I �� uaie <br />OwnerlAut— ha— ��Le�°�SlgnaWre <br />