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�5120l2016 15:43 36075?6932 ESAR'� ROOFING PAGE 02f03 <br />PERMIT APPLIC61TI0� <br />QUILDING � ECHANICAL / PLUMBING / SIGN 1!�RINKLER ! DEMOLITION <br />CITY oF �V�RETT PERMIT S�RVIC�S <br />3200 CEDAR STR�ET, EVERETT, WA 98201 <br />(P) 425-257�8890 � FAX 425-257-8857 �(E) everett�s�evarektw�-gov � vvmN,everethva.gOv/pe�mits <br />,,;:,,. <br />PRO.��CT S17E INf�.RMATlbN : : <br />PROJECT SITE A�DRESS: � U E �� r� � I SvJ PfiOP��TY TAX #: O� 'T � l� p v d p� i�o <br />LEC�AL for naw construction: Short Plat/subdivision LoR No. (att�cri copy of lohg legal description) <br />. , , CONTACT. ENF.ORMATIO <br />rN�f2 NAME: Tl1u d�d S S' G��y�M f�.au.��. CGr(9 ( TENANT NAME <br />�f�ER lIRAILwG ADDR�SS: smeer �IC7 � �-j � ��" � `-j � <br />ciTv � V-� lC R' <br />PHONE: <br />CONTRACTOR NAM�; �Sci.��/ R0o �+� �� S S <br />.�-- <br />CONTRACTOR ADDR�55: $rR�ET Z-� a� P <br />CIIY �dr�7�1Q. <br />CONTRACTOR PWONE; �GO - `� 5 ') � d� '� <br />CONTR,ACTOR LIC�NSE #(REQUlRED): CC L�S,Q 1 <br />PR[MARY CONTACT: ❑ OWNER }�CONTRACTOI� <br />CONTACT NAME: �"� � �, �� <br />'xisting Use of 8uildin : ' f �,µ,�, <br />'roposed Use of 8uifding: j �„ [� �u,.K � (, <br />tuilding Type: j%ISFR-patached ❑SFR-AtYache <br />�ype of Prolect: C1New L7Addition �Remodel <br />1ESCRIPTION OF WOItK: n <br />�Qvw� Jt C:+ � cJ( <br />TED 6UILDWG PERMET � (tf a <br />ER EMAIL: <br />., . <br />;. <br />N , . ... . <br />$TµTE <br />CONTRACTOR EMAiL: T�c r��t�vt� �!- 2C c� �r <br />� 1� S 1 y S' �(, � Ci�Y OF �V�R�TT BUSINESS lICENSE #(REC <br />C7 OTNER (Please Speci€y) <br />CONTAGT PHON�; �(�� _ Z�� � 3 ( �.,� <br />CONTA,CT �MAIL: � j��S Ct� �# a C� M <br />Z�P � � za � <br />z�P �(£;�t�3 <br />� „ C c3 �-. <br />���Efl,: oa3 � � <br />3UILD,ING.'P6RM1T>EkPPC�CATION ' • � <br />ConCract Price of Work: $ <br />Neat Source: ❑Gas ❑Electric �other <br />❑Duplex �Multi-Family-# of Units: QCommerCial Dlndustriai <br />❑R�pair OT.I_ �Siyn [7Sprinkler ❑Demolltlon ❑Ch�nge of Use <br />l�c7M � Ci'S/ �V^ �C7c3 �! n!� Qn � fC �C oOC i n I�iF�1 CC�^'1,�`jI �l� � <br />J <br />.QGKIVOIN�.�DGEM�N7;' ! haVe YeVienred this epplicefion end confirm th@ l�tfpm7atlon COnt&ln6d h�l9in IS tltse �Rd CorYsot_ Work done pursuant to thrs permit musf comp�y with <br />curr'snt f8detdl, stete, end loca! law. The grenfi ern7lt pqly y�holi,xes �pproved work and no deviatians therefrom. Devie&ons musf fi�st be euxho�jzed !n w�it/ng frOm the <br />8u!lding Otltclal Dsfore Being authnrized und eny c� umstsnce. / am the owner, or! em autnorized by the awner �fthis proper[y fo pe,form the work for which spp!/caUon !s made, <br />and 1 comply wftl� the S�bl�CanfrpEtors Le 58.27 W and 298.200R WAC. <br />Owner/Authorized <br />City of Eve�ft O�cie! Use Only <br />PERMIT # � �- <br />-w-1 �. �. <br />�ate (/7AV�sed 90/92/2095) <br />