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, � • <br />PERMIT APPLICATION <br />BUIL.DING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERM�T SERVICES <br />3200 Cedar St., Everell, WA �8201 425-257-8810 PAX 425-257-8857 Nn'nv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROh7 6 AM TO 4 Phi -- U� I� <br />AO�RLSS: _ _ NA . , � � PROPEeiYTAHtI �'Fj(�ti��T,q�Q-DIf1 <br />IUI "f O V <br />�Lforn^�:+conslr�ction: Shat <br />ea F2r—�� � gb�s <br />V� <br />�o._. (attach cop/ o( lor,g legal dz=_cripllon) <br />�fc>J J"�-1— 7/G�- <br />(;�L?%�(. �.JA . �t C� <br />_O�:�ner _Oviner'sAgent �Conlractor _Conl�actoisAgent _Tenantlm.��,�c�a���e,.ni.a�ro��or,�:,ii�orico�.�r.�.meo..-�wm:e�sp.,«> <br />G!'\G�N 5'Ca('� <br />?.120 I�AGICI�— 4�U�.f_UE <br />UILDING PERMIT APPLICATION <br />Existing Use o( <br />��[TidL- � L & I <br />� <br />F�V�QrsSS D%2o'(� CpE 6us. 1_ic. <br />Phone/EmadC7ZjJ �i5�—�J��� <br />�OR PE h71T <br />r., �w ZS� ZSZ- 3/� <br />' PRICE OF LVOR��O• � <br />proposed Use of 0 ilding <br />Buildingtype: �in9leFamily _Duplex_Townhouse _P+lulti•Family __Commercial <br />. _.. � iL.---.,_� o,..,.,o- T i sian Sorinkle <br />DESCRIPTION OF WORK(addiGcnalspacaprovidedo;�fhebackJ: <br />(N`�c�G� /1 ���Jble inN� 4�i-Ef& S�v���E�S HGw� R�+`�{G <br />MECHANICAL PERMIT APPLICATION <br />of PrqecL• _Nmv`AAdn .__Aller. tion _Repair <br />so�w NumGcr l.) of lixfures <br />of <br />PLUME3IVG PERMIT APPLICATION <br />ofProJect: _New_AJJn _Alleratian__Repair <br />Olher. <br />1 hereby aerl(y Ihat t havo rcad anA examined ihi: app'iw�ioo an'' knav+lho samo la ee Uuo nod cortecL NI provisions ol laxs and orCinances goveming IMs lype ol work wi'I Co <ompPetl <br />wnit ��helher speciGeel �ereln ar nol. The 3rantin9 of a permil does nol presume la glve aulnon.y to v!olala or cancel Ihe pmvis:on a! uny o'her slala or local law mgu'ating ��51mc1ion <br />Tli.l l am au:non ed by Iho mmer of Ihi p M�o pertorm Ihe wa�k lon•:hic� ep� ��afen Is matle and I eompy��7�h �he Stalo Cantraclors law f 027 RCW aod 2�J8.200A WAC. <br />�-�^ ��� �-��►� <br />O�vnedAitlhorized A9enl Signalurc <br />�atc (Revised F/20f2) <br />