11622 SILVER LAKE RD CLUBHOUSE 2016-09-01

� � � PROJECT SITE A44R PERM17 APPLICATION BUILDIN�ECHANICAL / PLUMBING / SIGN 1�INKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits " PROJECT SITE INFORMA'i'1'ON :: _ ___ ;S: _ : ' � , , ,.°� � PROPERTY TAX #: LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) '` ` BUILDING PERMIT APPLICATION ' I Existing Use of Building: Contract Price of Work: $' .l�ld' ProposedUseofBuilding� l4�L ��C�� , 5�/�� HeatSource� ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached� ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑R�model epair ❑T.I. ❑Sign �Sprinkler ❑Dsmolition OChange of Use DESCRIPTION OF WORK: ,L cj�t�-� 1 � ��i S �� 1 � �:� � � b/�' `1 �i.�,�-�� i r f� L`r�c.l� %-o �C/' r �>�/� �j t-�f-7t.�'lF�i�' 1!%L7 1/c'.�!'i !t5 �/� fJ•� r �i�l 'l dI ��c � 4� ,, V�l �►�� D( c.�rr'l�f" � r �,��9��rf�; / s �ys �� , R (l�4 �II��j fi`�� . ASSOCIATED BUILDING PERMIT # (if applicable): ACKNOWLEDGEMENT.� I have reviewed fhis appiication and confi�m the information contarned herein is true and correct. Work done pursuant to thls permit must compiy wirn current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must firsf be authorized in writrng from the Building Official before being authorized under any circumstance. 1 am the owner, or I am authorized by the owner of tl�is property to perform the work for which application is made, and I comp/y with the State Contractors Law 98.27 RCW and 296.200A WAC. "' IU O I ��t': j Z t�� y��I � uthorized Agent ign� atureZ Zr7 z�/ � Date Gty of Everett Off�c�a se n y PERMIT# � ��D � (Revised 10/12/2015) � �) �'� � ✓ l�