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Nov,30, 2015 1U;l0AM BCIE <br />PROJECT SITE ADD <br />No, 1727 P, 2 <br />PERMIT APPLICATION <br />BUILDING / MECHANICAL I PLUMBING / SIGN / SPRINKLER / D�IVIdLIT10N <br />GITY OF EVEftE7T AERMIT S�RV(CES <br />320� GEDAR STREET, EVERETT, WA 9820i <br />(P) 425-257-8810 � FA?t 425-257-8857 �(E) evereltepsQevefeltWa.yoV � 1wh4.eVeCeltWa,gov/permils <br />. . _..- - � --� . . .. . : • <br />PROJEC'T �IT�=NI��ORMATIQN . ' � <br />TAX <br />L.EGAL for new conslructlon: Short pIaUSUt�dYision Lpl Np, (allach copy oF long legal descrip�lon) <br />Exisling Use of Building: S�' �L <br />Propose� Use of 6uilding: <br />Building Typa: �SFR-Detached ❑SFR-Attachec <br />1"ype of Projecl; ❑New []Addllfon ❑Remodel <br />DESCRiP710N OF WOKK: <br />�Ot�rL.TEs`1 �N�PF.,�-f1�1-1 �O <br />SOCIATED BUILDING P�RMIT # (If <br />.. . : - .. ......... ... . <br />� ING .ERMIT aP,pI,ICAT1oN . _ : . . . ... . <br />Contract Prlce of Work: <br />Heat Souice: �Gas <br />❑Duplex ❑Mulll-Famfly-# of Units:_ <br />Repaif QT.I. OSlon ❑Sdrinkier <br />�-�om� �I�T ��y �Ttz�� <br />�Electric ❑Other <br />C7Commercial ❑Induslrial <br />❑Demolilion ❑Chan9e oF Use <br />ACKNOWLE'DGEMENT.� I heve reviewed Ih�s apppcsUon snd con/rim ll�e ]r�forme�lon co�fained hereln ls (rue and corr�ct. Id�orlc Uone puisuent �o lh;s permit musl comply wnh <br />r..urren� federal, slale, �nd local law. The grenfing oie perrnit only au[horiz�s approved work end no deviefior�s �here(rom. DevlaUons musl flisl De avUtorired;n w.�[rhg fmm !he <br />suilding Ofl/cls! before being aufhalzod undar any circumslence. I am �he owner, or I am su(horized By IP�e owner of fhis properfy �o perform the work !or wh/ch appllca[1on !s made, <br />and I cumply wr(h fhe slets Conf�acfors Law 18,2��CW anu 29B.2ooA wAC. <br />��ZY�1�l�- �� <br />ownarlauthorized;Agen -�(ure � p��e <br />Ci(y af Everelf Olfklal Use Only <br />/ PERMIT # �-- <br />� '�'(�(r-(�J? <br />(Rovlsed 10/i2/20i5J <br />