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NOV-23-2011 WED 10�34 AM __ FAX N0. P, O1 <br />n e '�-° PERMIT APPLICATIOM <br />��r <br />BUI�.DINGIMECh1ANICALIPLUMBINGlSIGNISPRINKLERIDEMOLITIO <br />CIl1' OF EVER�TT PERMIT SGRVICES <br />3200 Cedar St., Everett, WA 96201 - 425-257-8810 — FAX 42�-25�-8657 — vu�vw•everetlwa.org <br />naai ir.anoNS ARE ACCEPTED FROM B AM TO a PM oCeti��r a ._ r <br />tor nawconsiruGion�, Shoh PlaUsubd��,vlslon <br />Lm No.__ (attach copy o1 long Wpa� tlescripPoN <br />601 Unlon Slreot <br />Ar�tlress: 20203 Broadvrny Ave„ Snohomish VJA EB2°6 <br />Bonk – Everett Branch <br />BU1LDlWG PERMIT APPLICATION <br />Use o18uilding <br />lylStote2lp: Saaple. WA 96701 <br />S I Lic. Jk: :01021-01 <br />PbonelEmafl: 525.402.1 BAB ! Ioshm�s�Y <br />ONTACT FOft PERMIT JoSY� Mullen <br />�onolE•mail: A25.A02.1846 I joshmG��nyderroofing.com <br />oN7RACT PRICE oF WORK � <br />Proposed Use of Building Same r�ulti-Family Comme�del <br />3uilding type: _Sirgle Family �Duplex _Townhouse _ — 5 rinkle� _Demolltion_Cha�ge of Usa <br />Type of projoct: _New _Addition _Remodel _Repai��T.l• �Slgn _ P <br />Descnption or Work (aya�tionar s�ece provided on me baaq �ncludes complete removal of existing assemblies to exfsting su6strate. <br />"�`Please�call for c edit card for paym n�pv <br />you sL�rtod working YAthout a permit? �YES X NO <br />MECHANICAL PERMIT APP�ICA <br />of PrnJoct: „Now,_Addn �nitoration,Ropufr <br />e�.....r Numhnr!#) OifX[OICS _ <br />p{.UM61NG PERMIT APPI-ICATION <br />o1ProJact: _N�w._Aadn _A��rallon_Ropalr <br />ew..�.r Vumherf#10(/IXiJfCS <br />P�ledicai Gas <br />other: <br />I hr.rohy cediry Iha! I heve road ond oxzmined this application and know Ihe seme to �e tn+o and cor�ect All p�ovisions of laws and ordinances poverning <br />ihis rype of v.vrk e.ill �o complied v+l�h vhethar spociGed herein or not. Tho r�ranling of a pamtit doos not presume lo glve authonty to v�olale af cancal <br />the provlsi�n of any othor staie or loc:+l law ro�Wnling conslrucllon or tho pertormance of construction. Thal I am aut�onzed hy Ihe ovmer o` lhls pwpeM1y <br />W pef(orm tha work I>�ah�ch nppll:a�n is mada and I comply �+lh ihe Stale Contructors Lavi 18.27 RCW antl 29fi.2D0 WAC <br />2)��r���. 11//23/11 <br />• Autl�ortud �p���� �Itlnaturn <br />❑ate (Rovi;ed y201 f; <br />