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( <br />PERMIT AF��`�!.lC�ATION <br />BUII.DINGIMECHANICAUPLUMBIN�f�IGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMR SERVICES <br />3200 Cedar S.., Everett, WA 98201 - 425-257-8810 — FAX 42rr257-8857 — www.everoqwa.urgg 1 Z <br />APM.IGTIONS ARE ACCEP'TED FROM S AM TO 4 PM �� �- <br />F9^1 <br />ai <br />3/t- 977� <br />PERMIT APPLICATION 'CONTRACT PRICE OF <br />oi brp lap�l <br />uaeore�iainol'iC/ c�nt�uKtta�/faxs__ ��:.c,/ HFATSOURCE: <br />d Uee of Buiidino_��O G{ s C�s_ 9�d'k� Otl»r <br />ype:�SlnpleFamily _Duplez�rnvnhouse _Mul&Femily _Commerdel <br />proJed: _New _Additlon _Rsmodel _Repah�T.L_Slgn_Sprinklx_Demditbn_CFrerqe otUie <br />bnotWoik(addltlaialepecepwidedmNreDeck): CIt9fY WiI� prpi�s 7� asri a�� 4�tFeK119 <br />akd oqe RRu to �l�air e�as'�'��,� fi�cmN�M+uKtGafro,►s <br />you started worklnp wHhout a p�rmH9 _YES _NO <br />PlRMIT <br />_Nrw_Addn.JllhMlm_R�p�i� I ITyp�dProjwt _1Mw Addn _Albratlon_Rp�lt <br />Medical Ges <br />Other: <br />I he�aby ceAHy iMl I Mva !sed aM examined this appllcalion eM Xrww the wna to ha We end careG. NI povlabne d W+t and oidinerres poverNnp <br />ihis A'Pa of Hark Nill be comPfied with wfiether aP�� Mieln or nol. The prrN^9 of a peimit das not qewma to pivs �WoAtY to vbWb or anesl <br />the proviclon of eiry olher ttele or bral lew reguleUnp conaWelbn a the perfam�noe of torntWion. Thet I em authoAmd by lhe ovRier d tl�b p�apsrtY <br />to perform ths hork for Nftleh eppikslbn is mede and I comply wlth tlx Stete Co�ttraeton Law 1827 RCW ud 298.200 WAC <br />l �.� s- �- �Z <br />o�,.d ao.r��sia�.n.. o.a �vxe�!ar1o��� <br />3okn E sN�c�%f�-h' /Z <br />suozoz <br />