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PERMIT APPLIClaTION <br />�UILDINGIMECHANICALIPLUME'sING/SIGNISPRINKLERIDEMOLITION <br />CITl' OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 082�1 - 425-257-8810 — FAX 425-?.57-885i —�titivw.everett��r.or <br />APPLICATIONS ARE ACCEPTED FROM 8 A1d TO 4 PM ��-��I � <br />4DDF'ESS: CROPtRTVTA%Y <br />n..i Li� ii U. , , ..._ ...,. : . . �..�_ P�{3MIT�, . , , , <br />forneHcen;LucPon Shud <br />�d9�ess <br />,�CS� <br />[iUtLDING PERMIT APPLICATION <br />„ <br />P�: . (EL�:Y,copyotlonglepa!de <br />� 4 25 -355-�I � o � <br />a Fvc�-r7—, L.G%A- ` <br />�� <br />P�,a.-��,�m-�� 4 �— �75 � <br />PRICE OF WORK <br />`{�v ��'1VCL��j- <br />6:L=Cap U=e of �u�I;Lna ryEl;( SOIIRCE' <br />Prcpoes:d U:c o! f3ui;Jinp__ —__— __—. G,s_ _.. E�ecC:�. _ O:no __. <br />t3u'���.dmarype�. ,J�SinalePr:mily _Uuplex_Townhouse _IAuhi-F2mily _Comme:dal <br />lypeotproJecC, _Ner _Addilion _Remodel _Repalr_T.1._Slon_5prinkler_DemollUon_Change o'U:e <br />�k �cription of Wotk (edd�Mona� rpace p�ovidcd on Ihe GeckJ: <br />/�crcAc-e t:xi�nnlc�- C,t'q7Z"�..;E�2v�cc /��,Tl� �� N��c' C�'.�+77��- sC�-q�/[F <br />�G�-n, T(1�'- Lh4' �l� tt rc Tc' 'f1�E l�k'�,sr . <br />H:.vcyou=lo.rlcdvrorldnc��vlthoutrpcnnit7 ., YES �NO <br />f.1ECHANICAL PERIVIIT APPLICATIOIJ I � PLUhiBII7G PERNIIT APPLICATION <br />SI'�'f'rnf`cC._Ilu•i'_'Rddn_ tJkn�.tlon. Rc��,:.ir <br />Shovi Numhv ('J of f�xhuc� <br />liBS ffln <br />Clothes <br />SPRI <br />n <br />Ty�'�c of proJccl: �Nn�y_q�ldn .__ f,trcr,:tion,_ Rrp:dr <br />Ehow Nuntbcr ICl o! Oxfum� <br />DAedicel Oes <br />Other: /,�/� <br />I I i�e:.� cetry C��:I I���ve reed enC exzr,�d;,e9 t�,ls e, pi�,c. Ccn end kcc:v the Eame to be t�!e end correct NI pmvlaione ot lew� ¢nd ordinencea povernina <br />P: r q;e cl acrF vAl be con•.plied v.ith v�fiether spetiLed herein o� ncl. The B�snhnp c! c permit Cces not preeume to plve eu[hodty lo vb�ate or eancel <br />f�� {^ovision o� eny otlur et. :e or Iaei law fepulatlnp consWction a Lhe pedormancc e' n�shucLcr, 7hzt I Em eutherized 6y ine m��er ot lhis proFerty <br />t: � criorm Jhe �wrM Po� which eppiiceti s de 6nd I mnply Nith the S ate nVa:tere La;: 1 E�i RC4V F-d ?95 P�0 WAC <br />. � <br />=' �z�.� , �r� �'��' �� <br />OvmerlA dzedApent61pnn4 c � late (Rev'sed220H) <br />