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Jun 13 11 11:01a <br />�-��: f�ll�e � <br />PERMIT APPLICATION <br />p.1 <br />BUILDINGlMECHANICAUPLUMBING/SIGN/SPRINKLERlD EMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425257-8810 — FAX 425-257-8857 — www.evereM/va.org <br />APPUCATIONS ARE ACCEPTED FROM B AM TO 4 PM �p � --� I' <br />MDRESS: PROPERTYTAXM P M17/ <br />b31�-\ 12�l�dial�P� ia.no T'erl�.�'� R�i/�t r_n�':� <br />m��ewwosUucao�: Sl,ivt <br />� s.�t� � cksE � <br />PERMIT APPLICATION <br />Edstlng Use ot Buildng <br />d No._ �atixh capy ol brg lagal desalD�an) <br />�a :2ole.3oo��t�( <br />� R����. _ w#� 4�aa� <br />� � �� �� <br />�. Ph�,�, s8c�.�a.s��� <br />T FOR PERMR /1 �5 A,n'� O <br />l. 1..: <br />wu 2aLv - fa(r� . .S�{� <br />�CT PRICE OF WORK <br />HEAT SOURCE: <br />Pmposed Use of Buildng �S+c�c�,CL� I_ Gos� E�e�ric i( Other <br />Bulding type: � Single Family � Duplez_Tawnhousa _ Mulli�Famlly _ Commerchai <br />iype of projact _ New N Adx9m � Remodel _ Repair_ T.L _ Sign _Sprinklcr,_Demoli5on_Change o} U�a <br />Descrip6on of W ctk (additiona! spece povided on NTe bac�1Q' ,� �, <br />Q�i��i.� F`.r,a�\ -�"�3�-\�� � Do��Xv - 0%..3 <br />yau started worklny without a pormit7 YES �NO <br />MECHANICAL PERMIT APPLICATION <br />oTProjed: _New_Addn _Atl�ratbn_Repelr <br />/ <br />dProj•.et: ^New_Addn _Altoridon_R�pair <br />MediwlGas <br />O�her. <br />� i mcnoar at Heaas I I I Omer. <br />I Mreby cer,ily iha[ I hwa read end examtieU thls apd�wtlon enJ know [he snmo [o he We and corteU. Ail p�ovisions of IaMs end erdinances poveming <br />Ihiv type d woM will be complied with Hfielher apedfied herein or raL The ptantlng of a pemit docs not preaime b give aulhonry to viclate a pncd <br />Ihe pmWshn ol any othor stoto or locd low regulctlng consWctkn orl�e poRormmee of cansW Uion. That I am aulhorizo0 by ihe wmorof Uls property <br />to {nodurm t� rK fa »fildi picaUcn �xde anJ I compy ��c Slala Conhaclas Low 18.27 RGW en0 296.200 WAC <br />Tnv.IC��th � i»�f AnnN C{mnl�i�w � �� /Rwvi�M 9l1�111 <br />