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425-252-1666 <br />CM HEATING 02:38:35 p.m. 02-23-2016 2/3 <br />PROJECT SITE ADDRESS: <br />PERMIT APPL1CATlON � <br />BUILDING �ECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMf7 SERVICES <br />320D CEDAR STREET, EVERETT, WA 98Z01 <br />(P) 425-257-8810 � FAX A25-257-8857 �(E) evereiteps@everettwa.gov � www.evereltwa.gov/psrmits <br />PROJECT SiTE iNFORMATION <br />�'l I !1 _.�f e�- _ ROPERTY TAX #: <br />L�GAL for new constructlon: Short Plat/subdlvislon Lot No. (attach copy of long legal description) <br />LDING PERMIT APPL[CATION <br />Existing Use of Building: � <br />Pro osed Use af B' ding: H� <br />Buildin T e: SFR-�etached ❑5FR-Attached C7Du lex ❑Mu <br />Type of Proie :❑New OAddition �Remodel ;�Repair ❑T I <br />DESCRIPTION OF WORK: <br />t��.. --�r <br />� <br />�� <br />ASSOCIATED BUILDING PERMIT # (ff applicable): <br />ntract Price of Wark: <br />'� <br />at Source: Gas <br />i-Family-# of Units: <br />7Sign ❑5prinkfer <br />� '� �-�-9 �o <br />C1Eleotric OOther <br />❑Commercial ❑Industrial <br />�Demolition ❑Change of Use <br />ACKNOWLEDGEMENT.' / have reviewed this applrcatron and confirm the inlortnation confalned herain !s trste artd correct. Work dane pursuant to fhis permit must comply with <br />cuiront federal, slate, and locallew. Tha grantrng of a pemtit only authoNzes approved walc and no devietions there/iom. Deviatrons must first be authonzed in writing from the <br />Burlding O�cral befure boing authonzed under any cinumstance. I em the owner, or 1 am authonzed by the owner of this property fo peiform the woric for which applrcation is made, <br />end I comply with fhe State Contractors Law 18.27 RCW and 296.200A WAC. <br />�e <br />Agont Sigi <br />City ol Everett O�cial Use Only <br />� ��' e � PERMIT#�� ,��1 D�- <br />� <br />Date (Revised 10/i2i2015) � /��) <br />\ V" iV I I V"i <br />F% � <br />