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� � <br />PERMIT APPLICAI'ION <br />BUILDING/MECHANICALIFLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PFRMIT SERVICES <br />3200 Cedar St., Everelt, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everetriva.or <br />APPLICATIONS ARE ACCEPTED FROM i AM TO 4 PM lD ����/ <br />ADDRESS: PROPER7YTAXt PERp� ITN <br />—rn ,� r_.,,,_,.._,.0 ulv ��nl � n 7 Rn�n:Fnn�n�,.wo �l�l///� %%� <br />J , `�� � <br />lo� new oonstmclion: Shoh PlaUsubdivision SCP �nLL'f ��� Lot No._ (allach copy ol long legal tloscnption) <br />JWNER jCOS<h '�YD�tY'�"1e5 <br />4ddross �% {�ipX ✓��� <br />^ONTRACTORTio�VIS `�C�tuelleV <br />4ddress ao�-oa - ��+ �v� ���_ <br />TnENANT BUSINE55 NAM,EI <br />�`OCic�l�.�Air.� i Vd�CGI�t'{' SiC fi� � <br />BUILDING PERMIT APPLICATION <br />Ezisfinq Usc of Building �P'f01i <br />L&I <br />iL'�/_ii�lE <br />�925 <br />PRICE OI� WORK <br />)}�S-�4bo <br />'ln 1�a�1 y� <br />�'C0�J�0 X���4 <br />�noo� <br />HEATSOURCf_: <br />Proposed Use o( Building�(f [t� I I � "�'— ""'"`- _ _ _ _ <br />Ouilding type: _ Single Family _ Duplex _Tavnhouse _ Multi�Family 7� Gommercial <br />?ype o( project _ New _ Addition � Remodel _ Repair _ T.L _ Sign _ Sprinkler _Demolilion Change cIf Use <br />Descriplion of Nlork (addilional spaco providetl on Iho GackJ : T I V{ P r. � Sil Y1G Y� {7�.� � S�°�f e•"F� �� 1 V � f�C G I VL � a– <br />��+na�n1 Spo.ces (tZocblmPa��vS-(L�d�crnq ex�st ypo�cc).�Xk�tor wo�k to �nduden+4.w e� doov <br />r5to�cha,# t v�c��COHcrck�Vwlkwo.y+�i } ilf•n�J FDY JGIG(�� SIZ G41 .IVlftviOv ti.•oVl�}o i�CIK�Je r�moY <br />dcmoUi��h�v�Gv`� I-CNaWf CJ�-2lM1'�ISINf.1 �Un mtCY��Y �,JA�IS. <br />Have you sWrted working wi�.�oul a parmil? _YES _NO <br />MECHANIC�G� PERMIT APPLICATION <br />ol ProjacC _New _Addn _Allcralion _Ropai� <br />SM1ow Num6er (p� ol �xfures <br />AIC _ air handlinn unils <br />ISUPP <br />Wumber of <br />PLUMBING PERMIT APPLICATION <br />olProjneL _ Now_Addn _AllcraUon_Repair <br />Show Numbcr fNl of fii�ures <br />Medical Gas <br />Olher: <br />olher: <br />I heioby cetl�fy Ihat I have reaU anrl examinen Ihi, applicalion and kno�.v Ihe same lo �u Irue and correcl. All prom,ions nl lavrs and ordinances go�eming <br />ihis typv ol vmrM vnll he comphea wdh whelhe� specifrecl hnrein or ncl Tne granimg ol a peimn Uaes nol pre;ume lo qrve aulhonly lo vialnte or cancel <br />Ihe provision ol any oth�+r ;lale or loal law re9ulaling consiruclion oi Ihe pedormance ol con;lruc6on. Thal I am aNhonzrd Ay Ihe ov:ne� o� Ihis proPerly <br />ti Oedor he v:nrk lor �vhir.h� p,;IicaLr,n �s matle and I mmply enlh Ihe Slale Coniractors Law 18.27 RCW and 296.'r.�O WAC <br />� �I/u�� � � l6 �7�1/ <br />OwnrdAulhori d Ayenl Signalure aIc (Revi;ed Z/POf I) <br />