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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />C�TY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 4z�-z57-8810 — FAX 425-257-8857 — e.�'n'+.everethva.org <br />APPLICAl10NS ARE ACCEPTED FROM 8 AM TO 4 PM P R.717 p <br />ADDRE55' ��� PROPERtYTAXq ? � � � ,C�._(�Y_ <br />%�l7_LJ Vrr�i.���� U`' r <br />1Lfotnr:�conslmclion: ShartPlaVsubdivision — <br />Lot No._ (atlach ropy ol I ng Iegal desc pilcn) <br />U <br />&ILic.# <br />'lLS?c.17S5! lo��.�t�/iiUl'4J'�'�c�..tLn �..� <br />���,� /LprN.'N�l, . <br />.��. �..f)A..rOG'fViia].C: <br />ICONTRACT PRICE OF WORK <br />NG PERMIT APPLICATION i <br />Exisling Uso of Ou:ding <br />Cas_ Eteclric� Olher_ <br />Proposed Usc af ��ilding <br />Buildingtype: _SingloFamily _.Duplex_Townhouso ,_A9uItI�Famiiy _Commercial <br />TypeofprojecC _New _Addition ,_Remodel _Repair_T.I._Sign_Sprinkler_Demolition�Change o�U� ��,^f`M <br />D^eScfiplion ofCWofk (addi:ional spaca pmw/Qc�don Ihe back) : <br />1�' �NJ GK l�>'�i���� �v�y�/ ' .. ,_ . . _ - ... . <br />���ii�• ' . —� ^ � �.I/ii..r.f <br />o -1�-N° � . ,, i,:,�� <br />Haveyoustartedworkingwithouta ennit7 _YES pLUM81NG �ERMITAPPLICATION <br />MECHANICAL PERh91T APPLICATION <br />New_�ddn ,LAi�eralion_Repair Typ�ofProject: _New_AdAn �Alleration_Repair <br />TypeofProjecl: _ ShowNum6er(pl o!lidures <br />c�..,.,unn,nnr/aloflidures � T„n�� <br />� uu�����y � MedicaiGas <br />� Olher I <br />Other. <br />SPRINKLER I SUPPRESSION SY ,EM I <br />Other: <br />� NumberafH�..�+ds <br />I I��sieby �eCify Ihat I have real and eKamined ihis applicatien anJ Acav Ihe samo �06o truo and eonecL NI provisioss ol la�vs �nd crC'nances gcverniag <br />^�i; lypo ol Hrork wiil be complie9 with whether specifed herein or nol. Tho grarAing of a permM1 does ncl presuma lo give aut�ooiy lo ::�:ele er cancel <br />�.co provision nl�y �er stale o; local law reg�(IaOng wnslNnµolh �hahS alo C nha[l0 S Law`1827 RC !`alnd 296 200 WACy �he ownef ol lhif ptopeiN <br />r <br />!o pedorm lho � rklf wh'.ch appli,-.atlon is m� o and I eomply <br />� � � �{ �/� <br />f n (Revised 711077) <br />� 1) I <br />Ov+nudAultiorizrd ]19crl5iqnolurc � <br />