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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />320D Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 � www.everettwa.arg <br />APPL�CATIONS ARE ACCEPTED FROM! AM TO 4 PM <br />�1DDRE3S: PROiENTYTA)fll P MITi.. _ <br />DlrS�� rsET i �t3�6 �,yF� G{� <br />1L Iw nea oona�ructbn: ShoM1 PlaUsubAivltlon Lot No._ (eltach cvpy ol iaq bpsl Ceacripllon) <br />' I OY Ai �V`C�P�OC <br />�z s u,�Er � � � _ <br />�CTOR �A'.`�UJ6 0?, (� �{ Ti.� 4+ <br />'JCJ� � S �CZco, ttC-RET <br />f BUSINE NAME <br />DING PERMIT APPLICATION <br />Ute ot BuiMing <br />Use of Building <br />1 (U eiU2�.s o � <br />PRICE <br />inp type: _ Single Femfly _ Duplez _Townhouae _ Multl-Family _Commercial , <br />ofproJed: _NRw _Addition _Remodel _Repair_T.I,_Sign_Sprinkler_DemoliGon_Cherge otUse <br />dption o( Wodc (addifional spece prodded on 1he bacW : •-�� �� d 1�I� ` Y�{ <br />?��WLOJE L.�1'jYIiJL WA'LL fl.(L/JfiC�. —�—V�l.7T/4'LL /vl��-/ %�uyI1SU <br />� s[�Ttdd wo�np with � e�it7 l�_` � S <br />MECHANICAL PE RMIT APPLICATI <br />_Naw_Addn Iteratlon_Repeir <br />ShowNumbsrfN flxfuros . <br />_New_AEtln _AlhMlon_Rep�lr <br />Medical Gaa <br />Other: <br />I hereby certiy Ihal I Iwve read end e�amined this appliration and kno.v lhe eama la be INe and correcl. All provielonn of lewa anG ordinaMes 9ovemirp <br />Ihis type of work vnll be complieA wilh whether specified herein or not. The p2ntlnp ol a permit Ocee not qeaume to B��e authwity lo vblata a cancN <br />1 yislon of any ihe lete or laal law regulalfnp conalnretlon a lhe pedormanca ot consWdbn. 7Tat I am eutlwrL-ed Oy the wmer of lhie propery <br />o pertorm lhe o�k or whi h applicalion Is made and I compN ��h the S�eta Conlrectora Law 18.27 RCW and 298.200 WAC <br />_ f� vl!� �2 <br />r! ulhorizetl genl Sipnel Date (ReWsed 1/70f f) <br />