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• 0 <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, INA 98201 425-257-8810 FAX 425-257-8857 'Ay'wevereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE rffff: gumiftyi W4111f <br />PROPERTY TAX PE 57f)l � h% <br />ILEGAL for new conshuction: Shan Platlsubdivision Lcl No.__ (attach copy of long legal description) <br />APPLICANT:' Owner _Ownees Agent -XContraeter Contractor's Agent _Tenant(munprevia ateaeracmum rmmlMo nerroeowvkrn aieswce) <br />CONTRACTOR GVCR6=- N STAri a .Svxr-r tAML- L & I Up. # EV6055 DZ.ZoT COE Bus. Lic. # GO SS <br />Address 'LEW PAG(V(L A0f,EVEI'nTA,)A IS of Ptcre/Email02j) <br />TENANT BUSINESS NAME CO-- N--T�99..CT FOR PERMIT <br />lv1�Ki/-@ E55MwA . 0rA <br />' GAYS Phone/E-mail Lf 2.S 2 7 2 -3(/Y <br />BUILDING PERMIT APPLICATION CONTRACTPRICEOFWORK SG410 <br />Existing Use of Building o [kiij.- r <br />�,/ HEAT SOURCE: <br />Proposed Use of Buildinf_ (` V GasX Electric__ Other_ <br />Building type. _Single Family _Duplex_Tcwnhouse _Multi -Family A_Commercial <br />Type of protect: New Addition -_ Remodel jC Repair_ T.I. _ Sign _ Sprinkler DemolitianChznge of Use <br />DESCRIPTION OF WORK (a 'ddronal space provided on the back): <br />R-42 0.5. eompre'650✓ wf`(� LIEer A.'&(Lo <br />I MECHANICAL PERMIT APPLICATION I I PLUMBING PERMIT APPLICATION <br />of Project: _flew_Addn _Alteration Repair <br />SYSTEM <br />of Project: _New,Addn ,Alteration_Repair <br />Slow Number (e') of fixtures <br />I horoby cenly Thal I havo read and examined Ihn appFca!ion and knovr the same to be Ime and correct, All provisions of laws and ordinances goveming This type or workwa be cempaed <br />vdh whether specified harm Of aol. The granting 013 permit does not presume to give authony to violate or cancel the provision of any olherslalo or local law regulating wnstrudion <br />That I authorized by No ovmefof this property to pedomr the work for which application Is made and I complywith the Stato Contractors Law 1e 27 RCW and 299.200A WAC. <br />Owner/Authori d ent Signature G to (Revised W2012) <br />