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PERMIT APPLICATION <br />BUILDINGIMECHANICAUPLUMBINGISIGN/SPRINKLERIDEMOLITION <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 E AM TO 4 PM <br />ADDRES3: p ^�-7 ` _ PRpp ERTYTAXN PEF� T� <br />'Cj�OC. 1 �i�1't�t"it4L� �r ,�L�Ji1Gr�,/.��(`7G ,Vlll`1`U�� <br />IL tor new conslructian: Short PlaVsubdivislon Lot No._ (ettach copy of Iong Ie el desaiplion) <br />__ lZ _ _'. �" a`1 Tf . _ . �... o�.,.ro�F_meill'lli� I 2�� � .X� b'iVWLI.ILwI�aC�• <br />PERMIT APPLICATION <br />PRICE OF <br />�(S�v� <br />Existing Use ol Building _,�; '�� HEAT 50URCE: <br />-f � <br />Praposed Use of Building_ � Gasi� EleCriq Other <br />Building lype: � Single Femily _ Duplex _Townhouse _ �4ulti-Family _, Commercial <br />Type of project: _ New _ Addition _ Remodel ,_ Repair _ T.I. _ Sign _Sprinkler _Demolition_,Change of Use <br />Description of Work (addifional space provirfed on fhe beck): <br />L CO�Ltr�'u''H�LQ '� V10.'�(�1 Q(�,S <br />� J <br />yau started working without a pertnit4 _YES ,�S„NO <br />AppLICATl0�1 <br />ofProJset: _Naw_Addn _,AN�ntlon_Repeir <br />PERMIT <br />ol ProJact: _New _Addn _Albntlon _R�p�ir <br />Medical Ges <br />Other: <br />Other. <br />I hereby certify that I have read and exemineG Ihis epplicetlon and know Iha same lo Ca Uue antl conec�. All provisions of laws end ordinance� govemirg <br />lhis type ot work will be complied wilh whelher specifed herein or nol. The granting ol a permit Coes nol presumo to give authonty to violate or cancel <br />the provislon ot any other state or local law regulating wnstruction or the peAoimance ol construdlon. That I am euthofized Oy the ovmer ol thia property <br />to perlorm ihe w tor which applicali 's made anA I comply with the Stete Coniradors Law 1827 RCW and 298.200 WAC <br />� � /��� �� �S i� <br />OwnerlAuthorizadAp, 61pn re Date (RBV1������ <br />