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PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar 51., Evefett, WA 88201 - 425-257-8810 — FAX 425257-8857 — www.evereriwa.org �, <br />APPLICATIONS AR� ACCEPTED FROM 8 AM TO 4 PM <br />forn¢wtonslruc�ian: Shorl <br />PERMIT APPLICATION <br />!/ � <br />PERMIT / <br />� � � <br />ol lon0 bBal doeulp0on) <br />� ��/y�Q�� <br />r � <br />' V ' \-- _ ( V a..�i. <br />� —����Y:J��f.7»-� <br />%C /"({J <br />�( Z2_ <br />OF WORK L <br />Existing Use of Building ^�" �""^�� _ <br />Pmposod Usc of Building Gas_ Cloctdc` Othor_,_, <br />duilding type: �61ng�o Fam�ly _, Duplex_�Townhouse _ Multi-Femily _ Commercial � <br />Type of proJect: � New ___, Addillon � Remodel _ Repair_T.I. _ Sign _Sprinkler_Demolition_Change of Use <br />DeSCdptlon Of Work (ed�ifbnel space proVidad on f�o backJ: � <br />�� � {Nv us �l�VlGtLe, ��'I� -�-�- <br />MAVa yau staRed�out a permlt9 _!`�� �NO <br />MECHANICAL PERMIT APPI.ICATION PLUMBING PERMI7 APPLICATIO <br />Type af ProJact: �Naw _Addn _Alteratl� on.,,_aope�� Typa of ProJocl: _Now _Addn �Itonllon _Rapelr <br />..._....,.._�__ �r� ..r n.....e. Show NumberlN) o(flxtuna <br />.� <br />Other: <br />Gas <br />I heroby certify thei 1 have rend �nd exemineA I�le epplicallon and knaw tho same lo bo true ond co�roct. All provlclWu ollows oM ordlnoneos povominp <br />tMs typo of woAe wli� b¢ cOmpllad wllh whelher specl0atl hBreln or no�. The prantlnp of o perinit does not prosumo lo plvo eulhorliy lo vklete Dr canCgl <br />the orovlelen of nn other aleta or I law reguletlnp oonsl�ucllon or Iha podarmance of construUion. f�et I om aulhprliq! by the ovme� of lhie pfopudy <br />!u parfo c+wrk � whirh nppllcn Ia metle ena 1 ca ply with Iha Statc ContraGara L�w �I827 kCW and 298.200 WAC . . <br />`Ownarinuth za Ag n i � �� � fRvviaed7/2011) <br />T�T'd LSflflLs'?S�b1�01 ;WOJd 2b�20 2T02-LL-�flf <br />