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From <br />03I2��2012 10:01 <br />( <br />PERMIT APPLICATION <br />#707 P.002I003 <br />BUILDINGIMECHANICALIPL�MBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — waw.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />fornewconslruclio�: Short <br />BUILDIN�i PERMIT APPLICATION <br />Use of Buiiding <br />��iD°,�Da i m� <br />n No,_ (allach coDY ol lorg Iegai descriplion) <br />iail k�' oZ.�� � �4� <br />zP ��.Qx��a ��a qBaa'� <br />« s��&�— <br />PhonelEmail <br />. O <br />nail '�'o�L4�- �,jl��� <br />1CT PRICE OF WORK _ �1LD - <br />HEAT SOURCE: <br />roposad Use of Building � - "— - <br />uildingly;�e: �Sing�eFamily _Duplex_Townhouse _Multi-Family _Commercial <br />ypeofproject: _New _Addition �Remodel _Repalr,_T.I._Sign_Sprinkler_Demolition_Change ofUse <br />�escription oi Wo�k (adtli�ional spaca provided on (he back�; <br />\X�%a\ �.A��'CC1l1�L �� C�.D.X�SU( � �C� �Ck�V..'�'� 0��� C�'US�� <br />lave you started workin0 wilhout a pertnll7 _YES �NO <br />PERMIT <br />ofProJacl: _New_Addn <br />PLUMBIN(i <br />o(ProJael: _New_Addn Altanllon_Rapalr <br />Sho�.v NumMr (%) ol flaYurot <br />Olher: <br />I hereby cortify thal I havo road and ezamlrred this aOPlicallon enE know Ihe sama to be lrue end correct. All provisions af laws end ordinances governing <br />Ihis typa of work will be complied with whether cpecified Mrein or noL The granling o( a pertnit does not presume lo give aulhonry to violate or cancel � <br />Iho provision ol any othar slato or local law regulalinq constnulion or Ihe Dar(ormance ol consVuction. That I am authorized by the ovmer of Ihls propehy <br />to peAorm tho work �or which appticalion Is mada and I comply xilh ihe Sta�e Contreclors Law 1B27 RCW end 296.200 WAC <br />`� � k2V� h. ��a�\1- <br />OwnedAulhorizad Apa^t SlBnalun Date (Revisod 7/2011) <br />1T.7 <br />� �� <br />