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� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNlSPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, N1A 98201 - 425-257-8610 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />IU� <br />fa nexr mnsVUUUion: 51ror1 <br />u / <br />BUILDING PERMIT APPLICATfON <br />Existing Use of Buiiding <br />No.� (atlaM wpy ot Iwg legal desayGon) <br />��� <br />PRICE OF WORK <br />0)�f{i2 -IYbL <br />/7t Y�.�So.�; - �u n S < « <br />,(�Z� �,✓Fre'¢,oiF.c� ao:� <br />i 6 ;'v <br />HEAT SOURCE' <br />Proposed Use of Building S h2 � Gas Elechic �mer _ <br />Building type: �Single Family _ Duplex Townhouse Multi-Family _ Commercial <br />Type of projecL• ✓New _ Addillon _ Remodel _ Repatr _ T.I. _ Sign ✓ prinkler _DemollBon_Change of Use <br />ssuiption of Work (atltlitional spoco provided on tha back): <br />/NSi�Ff.L FiR-K SP2.�NK�L=JJS /N ✓JL�v <br />ave you started working wlthout a permR? _YES �NO <br />utpmfec�; _New_Addn _Alteralion_Repai� <br />5�' ��viJC�4-J5� <br />o(ProJoct: _New_Addn _Nter+tlon_Rapalr <br />Other <br />2u Number ol Hoatls — <br />I hereby cemry 1ha� � have �eatl an0 examined this nppliration antl know the same lo be lrue and coneG. All prwisions ollaws and ordinances 9ovemug <br />this type ol work will bo complied eilh whether spedfied herein or noL 7hn grenting of a pertNl docs nol prosume to giw aWhoriry to HnWto or wncel <br />the pmvision ot any olher state or bdl taw regulating consWction a the peAormarke of cronstruction. Thal I am authorizetl Dy the wner of Ih6 property <br />to pedwm the ork for whidi appGw'on is made antl 1 compry wiii Ihe Stalo Contradors Law 18.27 F2CW aod 296.200 WAC <br />/ -�-F-� D (ReNsed fYtOIOJ <br />O�medAuthod o -A9ei nature <br />�� ., <br />