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03/29/2012 THU 11:29 FAX 425 742 4318 PSRMABILT �002/003 <br />...._---'__... ._'-..--.—.._..._ ... _ _... . . �___ <br />. . _..... ._ . . _ . ._ .... <br />. ,� ( <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAUPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERJ;CES <br />3200 Cedar St., Everett, WA 98201 - 425-257-88'10 — FAX 425•257-8857 — www.everettwa.org ' <br />APPLICATION9 ARE ACCEPTEC FROM 8 AM TO 4 PM <br />�.��'723��53"`� Si'''. �SW <br />LEOALfornewconetructlon: SMKPIeVaubtlivielon � <br />OWNER c.JCaYt- MprTiw <br />nddroes '1 Z3 �3''� � S W <br />CONTRACTOR T��„�iJ � �w.,�1..., <br />AdEross �lvSZ� ��tJV �1�I S�tt G <br />4€faCFiT e� TJr s <br />BUILDIN6 PBRMIT APPLICATION <br />)O1100 I �j,�7U' <br />(attach copy ot lonp lepal d9scriptlon) <br />honME-mall � � <br />uy/statelz�p 'E�vct4, �A R8Za3 <br />81tic.# Tow,S�PFO�i� �'� <br />q ��3�1 Phon�ma!I''{ZS -143 • 1555� <br />�� <br />��ctpa 6oQcNE�s /T�wa 4 <br />honelE-moilyZS• %�IZ' /S�j� <br />'�ON7RACT PRICE OF WORK,$ I L.ZE3. o0 <br />ng Use of Building (� ` - ' ""'^"`. '' <br />�sedUseofBuildinp� �'- � `�� ��-+i��•Q Oaa ElecMc Other <br />ng type: ,�, Singls Family _ D� ��':�� _Townhouse _ Ma81-Famlly _ Commerdal <br />ofproJect: ,�,New _AddiUw, __',R�vr.�del _Rapatr_T.I._Sign_SprinWar_DemollUon,_Chanpe ofUse <br />rlpUon af Wo�k (add�o.�al space p;ovlded on tAo be:15': d I ( a . <br />,s}.�h��t:� a� 4 38� sF pus) �rn�rc et�,�he 5sr..�G. <br />v <br />you sterted workinp wlthout e permit? _YES �NO <br />MECHANICAL PERMIT APPLICATION <br />i�ryack _Naw_AdCn _Altxadon_R�pait <br />PLUMBINO PfiRMIT APPLICATION <br />HacC _N�w_J�ddn _/Jbnllon_RoP�r <br />Olher. <br />I hsro6y certifv thet 1 hevs rsed and ezaminad fhie epplicatlon end know lhe same to ba Wa and corract. All provfsiona of lawa aM ordinoncee yoveminp <br />ihls type of noAc wlll be complletl with whether epecllied Mreln or not. 7TN prentlnp of a psrmlt due not pmumi W pN� authorfty ro vlolab or esn_;,I <br />tFw provlelon of eny othar cteta or local etlng conaWctlon or the peRormena ol oorohvctlon. That I am euthortr.aC by tha own�rof Wia urc,pMy <br />to perlortn the work forwhich eppllce n Is me end I wmply with the Slete Con4actaa L�w 18.27 RCW and 498.200 WAC <br />(RaWsvd 7/�011) <br />::ii�r{i+i'ivi_i�• :.5�'��..,}.r'?v�c� '�: Zi�.-, - .s <br />- . 1 - .? V Ct!'t <br />X�3� <br />`/Z <br />