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from: 02/7QI2012 12:14 �679 P.002/002 <br />h"7 7`i% �� <br />PERMIT APPLICATION <br />BUILD!NG/MECHANICAL/PLUMBING/SIGN/SPRItVKLER/DEMOLITION <br />CI7Y OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — vn^nv.averettwa ora <br />APPLICATIONS PRE ACCEPTED FROM 8 AM TO 4 PM <br />FDDRESS: PROGGRTVTAX❑ P RAtITp <br />n:� �i�� PI S� I�117r1� _nU�t <br />!o� new cons�ruclion: Slmq PlaVsubtlivision_ _Lol No <br />Zi1�� <br />��i.�l S� <br />�, <br />QUILDING PERMIT APPLICATION <br />Use oF Uuilding <br />PnonclE-mail <br />(�tluch copy ot long Icyal dc�cri0�iun) <br />� n�•�LI IPhanPJEmail�5•���.7� <br />1.�C� <br />�TAC7 FOR ERMIT �I,LS (03I0•�� <br />�U�IC � a$�'�/� `f(1(1� I <br />Phone/Id-m: �I TIA.I l G G`w TK �'T W Q7�`�' <br />CONTRSCT PRICE OPIh'ORK � �5��� <br />IiC�il6Yfl�1ZN� <br />0 <br />'roposed Usa of l3uilding _ _ � Gas_%�. Lleclric_ _ Other <br />3uilding type: X Single Family ___ Duplex _Townhouso _ MWti-family _ Commercial <br />fype of pwjecC _ N_w _ �ddilion _ Remotlel �Repair _ T.I. _ Sign _Spnnkler_Demoliticn_Chan�e of Use <br />7e5eription o( Work (�tldit;onol spaca providetl on tho Guck): <br />�e~^�,��� I� P\ ��� c� as lt� �-�e� 1�.� a-� e,� <br />iave you started working witliout a permit? .�YES _NO <br />MECHANICAL PERNiIT APPLICATION <br />o/ Profecl: _New _Atltln _Alton�lon <br />S/�ow Num�er (b) olliatures <br />I NC _ air h�ndlinn ur <br />hood <br />SPRINKLER / SUPPRESSION SYSTE <br />Nwa6er of Heads <br />r._ <br />C t51Y � <br />PLUMBING PERMIT APPLICATION <br />of Projud: _Nuw _AJdn _Al(em�iun _Repair <br />Show Numbcrlq) olliatmes <br />Mediwl <br />Olher <br />Olhcr <br />reeznter <br />i hciuby ccAify thal I have road ai.tl ezaminetl Ihis apPliG]lion antl know Ihe sdme to Ue lrue antl certnGt. AII provisiuns o1 la'xs antl or0lnantcs govem�.rg <br />th'is Iype ol v�rk vnll be complied Ni1h wticlher spocilied nerein or noL The granting ol a permit tloes noi presunte lu givo aul�cn�y lu violale or cancel <br />;�e F�ovision o/ any other slale or ip�ai la�.v regWatin9 construction or the peno�mance o! constmcti�n. Thal I am authorizeC by tha oxner of Ihis propetli <br />�� pohorm Ihe worh lor wbich appliwl�cn is mude ana I compiy v,ilh Ihe Slale Conliactors La'.v 1B.27 RCW antl 296.2�0 WAC <br />�,r�%, �'��%C�� _��.� �� �/� <br />ner/l.ulhuiizetlApunl pnaWro 1�--% p�ti. (Rcrised'J:JI1) <br />