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08/14/2012 10:23 4257891313 SCIDN REALTY GROUP PAGE 02/03 <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, W A 98201 - 425-257-8810 — FAX 425-257-8857 — www.evepreltwa.org <br />G��� r, 4 APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM D�IS �I Z � <br />Narbeck Ave <br />�L lor new wnsWclion: Shorl PIaV: <br />ER Don Smith <br />.s 502F Narbeck Ave <br />3614 73rd Dr <br />EVERETT <br />BUILDING PERMIT APPLICATION <br />Use of Buildinc� <br />WA 98270 <br />No._ (attach <br />EVERETT <br />ollonglegalCescnplion) <br />Don Smith <br />PRICE OF WORK <br />WA 98203 <br />Proposed Use of Building I "a' <br />Building lype: �Single Famiiy _ Duplex _Townhouse _ Mulli-Family _ Commercial <br />Type of projecl: _ New _ Addition _ Ramodel ,�, Rapair _ T.I. __ Sign _Sprinklor _Domolilion_Change of Use <br />Descriplion of Work faddifional spaceprovidedon the 6ack): <br />you started working wfthout a permit7 �YES _NO <br />MECHANICAL <br />af Project: _New _Addn _PJbraGon _R�pelr <br />Show NumberlM) of /lxturea <br />Number of Heads <br />'1�ep1Gc.� ���.5 <br />PLUMBING PERM <br />� <br />LICATION <br />ProJa�t: _Naw_Addn _Altaration�(Rapair <br />Other: <br />Gas <br />I hereby certlty lhal l have read and exemineJ this application and know lhe same to be tme and cortect. M provisions of lavrs and ordinances gaveming <br />this rype of work xill 6e compliad xith vfiether specified herein or not, The nranling of a permi� does not presume to giva aul�onty to vidale or cancel <br />the provision al any ot�er slale or local law regulaling conslruclion r the peAormance ol wnslruction. That I am authorizeC Oy ihe owner ol Ihis properry <br />to Dertor�ha.yrorkJ6r which applicatlon is matle and I eomply witF�the SJ�te Comredors Law 18.27 RCW and 296.200 WAC <br />(Revised Y2071) <br />