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O9/zg/z0i6 Txu 7:08 FAx a25 252 1666 CM xeating �002/Opa <br />• PERMIT APPLICATIO� <br />BUILDING I MECHANICAL / PLUMBING / SIGN / SPRINKLER I DEMOLITION <br />CITY OF EVER�TT PERM IT 6ERVICES <br />3200 CEDAR STREET, EVEREY7, WA 98201 <br />(p) 426-257-8810 � rAX 426-267-4857 �(E) everettepe(�eVe�ettWa.gov � www.everettwa.gov/permlts <br />�'�r� o"r':� ��" �k.���nk� r�i��y�.R�a�:�g)� .' , e . �,�t S�'Le ��N�d1�Mn"r`�aN�.,,_, � � <br />PROJECT SITE ADDRESS: UL. VV �"� PRaPE'RTY Tl�( �: <br />LEGAL for naw consiructlon: Short pl�t/eubdlvlalon Lol No. (attach copy of 1onA legal descrlptlon) <br />�R NaM�; �.t�.�. I� <br />ER MAILING ADDR�S'3; B7REET � <br />crrv <br />OWNER PHONE: <br />CONTRACTOR NAM�; <br />CONTRACTOR ADDRESS; BTREET � <br />cirr U, <br />CONTRACTOR PH�NE; <br />CONTRACTOR LICENSE #(ReQUIR�D):Q{� <br />PR[MARY CONTACT: ❑ OWNER CONTF2P <br />CONTACT NAME: �,��"� ,v"L� , „ <br />��� i <br />,. � . . . _ �„ . .�... ';,.'"'��,. � . <br />T�NANT NAME (If Commerclal): <br />OWNER EMAIL: <br />STATE <br />9TATE <br />ZIP <br />ZIP <br />C�NTRACTOR EMAIL: � ' <br />'V � 1 Y.I a1TY OF EVERElT BU8INESS LICENSE #(REQUIRE <br />❑ OTHER (Please Speclfy) � <br />CONTACT PWONE: <br />CONTACT �MAIL; F�Y <br />n vee vi auuain : Contract F'rlce.of Work; s '�1 U�� <br />�sod Use of Bulldln ; Heat Source: as ❑Electrlc ❑Other <br />ng Type: ❑SFR-Detached 05FR-Attached ❑Du lex ❑Multl-Famlly-# of Units; ❑Commerclal ❑Industrlal <br />of Pro ect: ❑New �Addltlon ❑R�model C�Rapalr ❑T.l. ❑Slgn ❑Sprinkler ❑Demolltfon ❑Change of Usa <br />,RIPTIOlV OF WORK; ` <br />��� � - _ `�'j�� �- a� ��� � <br />c,� ,., { � � , q � ((� l <br />aC�ATED BUILDING PERMIT #(if appllcable1; � �� � <br />ACKNOWLEDGEMENT: I have reviewed thla appl/oaUon end conFlrm the !n/ormetfon contalned hernM Is trua end comsct. Work done pursuent to rnia pBrmit must comply wph <br />currA��t �evara�. atare, and loce/law. The grenting o� a permfl only authorf:ea epprovad work end no devfativns lhereirol+�. Devlat/ons must /Irat be authorhod !n wrlting from tha <br />Bvllding oylclal be%re 6s/ri9 euihor/zed under any clrcumsfancg. 1 ern the awner, vr! am authoriied by �he owner of thls property to perfoim the work for whlch appNcof/on Is made, <br />snd 1 compry wNh fhe Steta Confracfor� Law ?e.27 RCW and 289, 200A WAC, <br />Cfty af F-veretl OlJlclal fJse O�ily <br />PERMFT �t r r� �,I ��� C� . � <br />� � �� '`� � `` � �� <br />( av/sA 0'16 <br />