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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITi ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: � PROPERttTAXN ERMIT• <br />•� ... /_ v' .;L. �_.._�„)r 1 � O —Li%� <br />for new constmclian: Shorl <br />No._ (ailach copy ol long legal description) <br />� <br />=Dwner _Owner'sAgent _CoNraetor Co01�BC�Of'SAgC'Ol ._TC�dN(musipmmUeeieuerolconsenitmmNaonr.ermeowork�inYiespaca� <br />� <br />�� <br />;�;<.-w; :l,r/y.= � ,�c �c%��. <br />PERMIT APPLICATION <br />Use ot Building <br />1 Lic. # <br />PRICE OF WORK <br />� Use of Building � <br />type: _ Sing�e Family _ Duplex _Townhouse _ Mulli•Family =Commercial <br />.._:....�. n�o,,, ,ndna��o Remodel Reoair T.I. _ Sign _Sprinklei <br />iCRIPTION OF WORK (addrtional speceprovidedon tho Dack/: <br />���'% �Z / � �; �! <br />/7t�"��.v /�t;�.i .—• I.C,�a�M (, 7G«�' t_ C�c`7t�2��? G�I� C-.�r, � <br />/ �% <br />PERMIT APPLICATION <br />of Pr�)och __Naw _Addn __AltereUan _Repalr <br />Show Numberlkl o! lixfurcs <br />av <br />of Heads <br />PLUMBING PERMIT <br />Bus. Lic. <br />of Use <br />of ProJocl: _New _Addn _Alloralian _Repair <br />Other. <br />Gas <br />I hereby cendy that I �ave reatl nnd eRamined ihis app�ica0on anC Anow Ihe same to be ima and wrmtt P� p�ovisions et laxs anC ordinancea goveming Ihis type of woM1 will Ce tromplrcM <br />with xTel�er spea(ieA �erein ar nol. Ttie 9mnhng o� a pdmd Eoes not presuma to gn�e amhority to violate or wncel ina provision ol any ot�er stata or bcal la.v requleling consVutlion <br />T�at I nm autnotl:etl by tlia axnet olt�is pmpeny to peAorm Ihe xmk IorHTi:.h appliwlion is ma06 anC I comply xrtM1 t�o Stete Conlrecmn Lew 1827 RLW ana 29fi 200A WAC. <br />' �/ / f / �—� !S // / G' <br />�CY.f�� /'l/!.% •`•—� / % � <br />� OwnurlAuthorized Agent SignaWrc ' . ��� <br />(Revisca 6/20121 <br />