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� <br />� <br />PERMIT APPLI�ATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITIOIV <br />CIl'Y OF EV[RGTT PERMI'I' SERVICCS <br />32�0 Cedar St., [verett, WA 98201 - 425-7_5r-8f110 -- FAX 47_5-257-8857 —��n�s.v.everetl�.:a.org <br />APPLICATIONS ARE ACCHPTf_D FROht 8 AM TO 4 PM b�� ��' <br />A�DRESS: vHOFEfiivinxn eS,�3�»lT �) <br />�7 Gt!\Gt _ ! �,ii, �'i . �V L - <br />for ncwconstruclion: Short Platlsu6divlslon_ _Lo� Plo._ (allar.h ccpy of long I�gal Cescription) <br />ER <br />QUILDINf3 PGRMIT APPLICATION <br />Exis�ing U5c of Ouilding <br />r-n�:,c�E-m:+�� � `F Lj/ .h.3�i — i�Y"t[J <br />��,Y,s�.,,,,,Z,� ����-� (�.�a �82Q,L— <br />LRILic.;! �V�� ���� <br />ano��irmon ��J' Z5�" �` IL <br />CONTl1CT FOR PER�d1T <br />�no,P��_ �,,,�� ��r� ,� � (4'� ZK7 _3/Iti <br />CONTRACT PRICE OP WORK _�� � � <br />HEATSOURC[�. <br />n,� Rednr. X Olhcr <br />Proposed Use of 6u�lding_ _ — � � <br />Buildin9 lype: _�Single Famii� _ Duplex _Townhouse _ Mulii-Family _ Commercial <br />"(ype of project: _ Ne�v _ Addilion _ Renmdel �epair _ 7.1. _ Sign _Sprinkler __Demolilion,_Chan9e of Use <br />I�e:criplion oFWork (additional spice providednn lhe hackJ: �( <br />1e.�5��c� �c ti 6�`e Za—� �'��t�SS C�Eblt '�',.^� <br />Havc you started working without a permit4 _YES xN0 <br />MECHAP1iCAL PERMIT APPLfCAT10N PLUM8ING PERMIT APPLICATION <br />lype of Pro�ect: _��evr _Addn _Aticralion �_Repair <br />SUPPRESSION S <br />of ProjeeC _Nem _A�ddn ___�Iteration Rrpair <br />ShowNumher/tl)allixlwes _ <br />Mr.d�col Gas <br />Olher. <br />INwriberoftieads .._.__. __ _.__LL--_ � Olhec _ <br />I hereby co��i(y Iha� I havr, iead nnd exrimhmd Ihis applicaliuu and knom Ihn ��,�me to he true und correr.l. NI provislons of la�vs and ordlnancos 9nvernin9 <br />Vir: typr, nl v�crk ��-ill Ur; complie:l milh mhelher sper,ilied I�emin ar nol.'fhe g�anliny of a permit doe; nol presume lo yive aulhority to violnte or c�nr,el <br />ih�� provisian of ��ny oiher sl�le or lotal lawre9ulaung conslmcuon or Iha pedo�mnnce ol r.onslruclion. Thal I:un aulhonzr.A hythe avmer of tl�.ic pwpeAy <br />In pndnrm Ihe :nr for �:�hir.h:ipp'ir n i; ide and 1 mmply wilii Ihe Slalo Conlrnr.loc: Laci 10.'l.7 RC'N and 27fi200 WAC <br />��'�- ��-�-� <br />-�.-- - u, i. �uevised vm � p <br />OemrrlAulhnriznA Aqent Siqn`,Ittmf <br />