3332 COLBY AVE CALVARY BAPTIST CHURCH 2017-01-13

PERMIT APPLICATION BUILDINC ECHANICAL / PLUMBING / SIGN �RINKLER / DEMO�10 � 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.qov/permits ER NAME: ER MAILING ADDRESS: OWNER PHONE: ONTRACTOR NAME; ONTRACTOR ADDRESS: CfTY STREET arv CONTRACTOR PHONE: /�-� 1� j � CONTRACTOR LICENSE #(REQUIRED): I� PRIMARY CONTACT: ❑ OWNER �CO CONTAC NAME: � , Sl��s CONTACT INFORMATION TENANT NAME (If Commerci � STATE OWNER EMAIL: S � ,�91�?..� �r% �� STATE j ��r� CONTRACTOR EMAIL: ZIP ZIP ��> �� J �CITY OF EVERETT BUSINESS LICENSE #(REQUIREI R ❑ OTHER (Please Specify) CONTACT PHONE: ��S �� f��x ,��. CONTACT EMAIL. /�i L1 ;,1J C/�' �/v o,.✓� , l. s�n . C� BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. L�ign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: � 11��`��,(,� G� S� C Y�. IATED BUILDING PERMIT # (if applicable): �J s� ACKNOWLEDGEMENT: I have reviewed fhis application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance. l am the owner, or I am authorized by the owner of this property to perform the work for which application is made, and I comply with tFp�State Contractors Law 18.27 RCW and 29§-200A WAC. Date City of Everett O�cial Use On/y PERMIT # �. ��f�C�� - �D� , (Revised 5/20/2016) 1f � f