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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwai� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROPERTY IA)Ih PERMIT--aDS _oO <br />A4DRESS: -r?j 7j <br />LEGAL for new construction: Short <br />a if 1 OA/ / C L-,, 01- <br />.? ty��/-%C.//"sr S.L- <br />T; ,/Oymer _ Owners Agent _ Contractor <br />A; <br />UII.DING PERMIT APPLICATION <br />Use of Building <br />(attach copy of long legal <br />Contractors Agent _Tenant lmust poNda alsllwaransanl nom tins ownsrmao woAmina.r•.• <br />_Zu L&ILic. <br />a '4 % F-� %. <br />Wa <br />PRICE OF <br />d Use of Building - - - -- — <br />type: _Single Family ,_ Duplex _Townhouse _MUltl-Famlly ,_Commercial <br />oro 'ct New Addition 0�Remodel Repair T.I. Sign Sprinkle <br />OPTION OF WORKfedddionalspecepmvidadonins beck): <br />MECHANICAL PERMIT APPLICATION <br />Typoot ProJocC _New_Addn LAlloratlon_Repair <br />T N (—i 4—, <br />PLUMBING PERMIT APPLICATION <br />of Prulect: _New __Addn _Alteration _Repair <br />Show Number m of fixtures <br />Other <br />1 heresy arday that I have road and examined this application and know the same to be We and correct. AN proviamn of lawn and ordinances governing this type of work wi Ee complied <br />with rMelher specdied harem or not. The granting of a pennd dealsnot presume Ice give authority to violate or cancel the provision of any Other Hale or local law regulating =struclen <br />livedCFj, d pplkfa�lbn la �mtle ply h Na 6lala Contractors Law 18.47 RC W and 29e 210A WAC <br />That I am authonedbye"....IpL (Revised . <br />6(2012)tthe f this property toperformme / <br />!-C .0 <br />Ownorl ulhorizotl Agent Slgnatu <br />Dale <br />