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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEM�JLITION <br />CITY UF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 962G � 425-257-8810 FAX 425-257-8857 vr•nv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />.__..�,.,._ . PROPERTYTA%N. ,. _ . PE�i�IT# �'.Z <br />fornewconstruction: ShoR <br />Lol No._ ;attach ccpy otfong iepal 1cscoH7ion) <br />Owner �O��nE�'sAgent Contredor _ContraclofsAgent _Tenant�mvs�Pmvaaetncreconsemnamnec+nerweoxon�nma.aaxl <br />.��^��, c n� l,� i Ri2xz ct n L& I ��c. # SA i 1 E R�R� � 1'�OE Bus. Lic. # <br />ANT BUSINESS NAME �q6�7 �(r�eu yKw / <br />�n,�o���� r��l�.<<i wn q��i� <br />ILDING PERMIT APPLICATION <br />Usa of <br />PRICE <br />HEAT <br />�roposed Use of Building g — <br />3vildingtype: _SingleFamily _Duplex_,Townhouse _Multi-Family / Commercial <br />"ype of prejeck New _AtldiUon Remodel RepairL T I Sigi Sprinkler Demolition_Change of Use <br />)ESCRIPTION OF WORK (addi��ona� space provided on the ackJ: �t�lnp�.Q �IiJ A((Py�A t2 �p �1`��%�.✓4�I OA) (�C�j <br />,� �� 6 1� ��� s�`^ � i o• ��a �, a,� �l A,��-r I �cN y �Q���P� r� S�wc R�to <br />`�9�vr ' � �' c?/�•t o� <br />'�%y,oLi�e a\�SD ��l1f�d Qldur+y aae�'���nua�"[[��fiN�'�-W�lL��W�j�15ijN� e � <br />P,risf,N�, ('r.�rncF e S�aG <br />afProJect:_New_Ado�> _alteratlon_Rapalr <br />IT APPLICATION <br />ofProJect _New_Addn _Alteratlon_Repalr <br />shmv Number /N) ol /i�Rures <br />I hereby certity Ihat I havo read una azamheE Nis nPplkalion onC Nnow Iho sama to ba Wo end evrtect. NI Dmvisiona al W�n onO aNinonwa Bovemin8 Nia rype olwo�k xAA Co eom0lieA <br />rrnhvAmNerspec" Inereinornol.ThapranlinAalopermllEoe5nolpresumeloB�authorAyloviolataorwnceltheproNfbnolunvoNerslalaorlocalhwreB���„B�onSWcGon <br />Tnal l mm �uNonzc� �y �ho mvncr oltnb pmperty Io pertortn �o work (orwhkh uppGcalbo le me0a and I compywt� the Slnin ConVaclon Lew 18.27 RCW entl 298200A WAC. <br />i <br />� / / <br />�/.�..� � �l�13 � <br />O r/Authorized Agent Slgn�ture �a� (Revised 6/2012) � <br />