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� PERMIT APPLICATIO� <br />BUILDING / MECHANICAL / PLUMBING / SIGN 1 SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />`'1"/�/., SC ���1: w��Ci lrJC.-PRO.l�CT SIT� INFORMATION ' <br />808 Everstt Mall Way, Everatt, WA 9840t <br />for new construdion: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Joelle Lablond TENANT NAME (If Commercial): Comcast <br />OWNER MAILING ADDRESS: 900132nd Street SW <br />Everett, WA z�P 98204 <br />OWNER PHONE: OWNER EMAIL: <br />CONTRACTOR NAME: MRJ Constructors LLC <br />CONTRACTORADDRESS: �����rport Way S. <br />Seattle c�n WASTATE 9�� � <br />CONTRACTOR PHONE: (206) 621-7437 CONTRAC7oR EMAIL: chan�mrjconstructors.com <br />CONTRACTOR LICENSE #(REQUIRED): MRJ COL*011 CW CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 03309% <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR OTHER (Please Specify) AfCillteCt <br />CONTACT NAME: CONTACT PHONE: 2 � 4.935.6924 <br />Keith Rabuse coNracrEMAi�: k.rabuse@interiorarchitects.com <br />BUILDING P�RMIT APPLICATION <br />Existin Use of Buildin : BUSIIIeSS Contract Price of Work: $ 3 750.00 <br />Pro osed Use of Buildin : BUSIII@SS Heat Source: ❑Gas Electric ❑Other <br />Buildin T e: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Famil -# of Units: �Commercial ❑Industrial <br />T of Pro�ect: ❑New �Addition Remodel ❑Re air ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use <br />DESCRIPTIpN OF WORK: <br />Temporary occupation of (2) floors, demolition limited to (1) door, (2) new walls, (2) new <br />doors, new electrical for work stations. <br />ASSOCIATED BUILDING PERMIT # if a licable : <br />ACKNOWLEDGEMENT.� l have reviewed this application and confirm the inlamation contained herein is t�ue and correct. Work done pursuant to this permk must compty with <br />current federal, state, and local law. The granting of a permit ony authonzes approved work and no daviations therehom. Deviations must first be authorized in writing irom the <br />Buildin� al before being authorized under any cir�umstance. l am the owner, or / am aulhorized by the owner of this property to perlorm the work /or which applrcation is made, <br />and I.COm�wrth the State Contracfors Law 18.27 RCW and 296.200A WAC. <br />Agerrt <br />City of Everett O/15cia! Use Only <br />PERMIT #, , <br />9 � � �!�� - ��� <br />�at (Revised 1GU12/2015) `�� <br />