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F�9:iI9 'E��erqreen State Hedt S Ri FR'r: IJi1 :�1?5255665rJ Oct. 17 21J11 1L1:51R19 FS <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITIaN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, W A 98201 - 425-257-8610 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTEp FROM 8 AM TO 4 PM <br />� <br />IOr new con5�mction�. Shnd PlnUaubdNlslon____ , <br />1 <br />D <br />PERMIT APPLICATION <br />"A%p I PF�i�IIT/ � / � ' <br />VYI <br />Np._ (altach copy of long IcpBl tle:sdption) <br />-u- ��� �j �- �51 � - �l (� � <br />p� V.lZn o�, 1.01�1 1 2 � <br />�' 3�iT <br />PhonalEmall <br />I�Ei�PERM� !` „ , _� , � <br />Ly'a_ •r.,.� <br />� as ����-3��y <br />T PRICE OF WORK I�[�l� ' <br />Ezisting Use oi Duilding,. 4[ 0`n'�A--�'Y..� HFAT SOLIRCE <br />Pmposotl Uso of Building ��u' Gns Eieadc� Other_ <br />Bullding typo: � Single Pemily _ duplex __Townhouse , A1ul' Family _ CommorGnl <br />7ypo ot proJect: _ Now ,V Addltion __ Rernodol _ Repair.�T.l. _ Sign _Sprinklor_Domol%lOn_Change of Use <br />Deserip�ion of Work (addRMna� spece nrovided o, � rbe back); <br />�9.,,-,���.P �.��Ao s S �� t,��T <br />you sterted working wlthout e permit7 `YE8 _NO <br />PERMIT APPLICATION <br />o1ProJat.t: _New_._„AAdn _Altnrauon__qepelr <br />Show Numb�rlfll o/O+lures <br />/SUP <br />iJ <br />PERMIT APPLICATION <br />ofVro�act: _New_Atldn �Alleratlon_Nepalr <br />o�ner: <br />I �eraby certlfy thal I hevo resd ond examinea lhis apphcntion �nd knowlhe sama to bo true antl corcect. All provinions of Is���s and ordinsncas goveminp <br />ih�s ���� ot xork wdl be comolicd Mith whothar epocihCJ hcrotn ar noL 7tlC granling o( 2 ptln»2 tloCS n0i p�66umC l� gira Bul�Crity l0 v1013te of C. nG01 <br />ino p�ovlslon ol any other elxle or lacal lawrepuiet�ng conslrudion or Ihe peKorcnence ol construcllon. Thal I am autnonzed by tne owner of thls propetty <br />�to Crtor Iho wyrk fDfw�ith eppllCPilon IS mada entl I COMDIy wilh lhe S�aio Conlraqofs Lew 18.77 RCW and .^B@'100WAC <br />��i� � -1�1-� <br />OwnerlAittherized qpeat Slpn re De1e (Fxvised 2.1p1±J <br />