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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLIJMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF E�'ERETT PERMIT SERVICES <br />320D Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.evereflwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />for new construction: Shart PlaVsubdivision Lot No._ (ettach copy ot Iong legal <br />2 (2(i• . .ctrl` � � /��✓'+�'� PhonalE•mell <br />�- ��,�Y� ) � y� CltylStatelZlp <br />JICTOR ��i SoJ�J���G L81Lic.# UL �i M� <br />.9_ _ v. <br />�jZ(�'f- /ZL"�c5f�. T s�*ti � �� Phon�lEmeil� �. <br />T BUSINESS NAMEy .�.//.. CONTI4FT FO�P��M`�'� �3,�< � <br />�� `-0NS`�l/a�f�s ••� Ve34��"' Phonel��G[��.11lS16iC�Q��L/�: <br />ywL <br />ILDtN6 PERMIT APPLICATION <br />Use of Buiiding G�� i <br />d Use of Bulldir.g /�'N V <br />PRICE OF <br />��� <br />07�Z <br />G/� ....S�i <br />ng type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Canmercial <br />of projecl: _ New _ Addition _ Remodel _ Repair _ T.1. _ Sign _Sprinkler _Demolilion_Change ot Use <br />n of Wolk (addifionAa�l space prov,id/ad on fhe backJ ,:,/_ <br />,�NT�II �Vi-u� /�riKt��K/ Si`9� <br />Heve you startad working wilhout a permit? _YES �NO <br />ol ProJect: _New _Addn _/Utenllon _Rapalr <br />Number of <br />o.t 71c� v�. E. Lo.�.s�v— o' 1� /"'»P v� �/ <br />o1ProJaet: _New_Addn _AlteMlon_Rspalr <br />Medical Gas <br />Othar. <br />� <br />I here6y certily thet 1 heve read and ezamined lhis epplication end knowihe same to b¢ Uue and wrtncl. All provislons ollaws and ordinenees goveming <br />this �ype ol xork will be complied wilh whelher specified herein or nol The granUnB of a parmit does nol presume lo gNe euUority lo viWate or cancel <br />the provlsion of any other stete or local law regulaling wnslruction or the perlamence of construdion. That 1 am authoiized by tY,e owner ollhls property <br />to peAorm ihe work f rv.hich applicetio Is mede I comply with lhe Stale ConUadors Lew 78.27 RCW end 296.7.00 WAC <br />s �i <br />OwmN odzedAgent5lBnature Oete (Revfsed2l20fiJ <br />�a <br />