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e1 i' 13/ 2016 12: 04 <br />� <br />� <br />� <br />ROJECi SIT� ADDRESS: . .. <br />2067221303 OLSON ENERG'v' SER'��'ICE P�GE 02IO2 <br />PERMIT APPLICATIO� <br />BUILDING I MECWAMCAL / PLUMBING 1 SIGN r�PRINKLER / DEMOI,lTION <br />CITY �F EV�RETT PERMIT S�I�VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps�everettwa.gov � wwrw_everetiw�.gov/permits <br />PRdJECT�.SITe INFORMATION '. ` <br />, .. .. .., . , . „ PR�P�RTY TIUC #: _ _ _ _ _ <br />LEGA� for new constructlon� ShoR PlaUsubdivieio <br />No. (attach oopy of leng legal description) <br />, , <br />` „ , , ., BUIL.DING P�RMIT APPLICA'�ION"' <br />Existing Use of Buildln : Contraet PriCe of Work: $ G <br />Proposed Use of Buildinfl: Heat Saurce: ❑Gas C]EEectric <br />Building Type: ❑SFR-0etached ❑S�R-Attached ❑Duplex ❑Multi-Family� of Units: ❑( <br />�pe of Pr❑ject: ❑New QAddition ❑Remodel ❑Repair �T,I. �Sign ❑Sprinkler ClDemolition <br />DESC}21PTION DF WORK: <br />, <br />� � �" '� '�' l�ti�'� � ��;��� <br />� <br />IA880CIATED �UILDING P�RMIT # (if applicable); <br />❑Other <br />�m�rerciai Clindustria� <br />❑Chani�e of Use <br />ACKNOwLEDGEMENT; ! heva reviswed thls eppl;caf;on and co�firm the infomistion confained he/�1n is f�us and Correct. Wo�% done pursuant to th%s permit must Comply with <br />cunent (ederel, stata, antl �ocal !aw- Tha granting of e pennit only authonzes approved wo,k end no devfatrons thereftom, Deviatrons rnust first bs autflonzed �n writing frvm tha <br />Building Of/7ci91 be(ore bAfng sUfhorized untler any C��umstance. I 8m the owner, ol' I am euthonzed Ay tF1e owner of N1is property to perlolm fhe tivork for' Wnlch spp��cefion /S �»ade, <br />end I comply wlth the State Confracto� Lew 98.27 FiCW end 296.200A V1�AC. <br />City o( �v@rett O�C/8i USe �nly <br />PERMIT# ; � �, <br />'V 6l V l � <br />(Rsvised 10117-/Z075J <br />