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PERMIT APPL�CATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org tL <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ,�jc. jl'� —G 7 <br />1405 SE Everett Mall Way, Suite D <br />fornewwnslruction: Short <br />Global Nutritional Treal LLC ANn: Neeshad Thakkar <br />23001 44 Drive SE <br />No._ (atlach copy o! long legal deunolion) <br />414-731r1170 <br />Everetl, WA 98021 <br />_Owner x p.mefsAgent _Conlractor _ContreclofsAgenl _Tenam�m�simorae.knera�mantranmew.,,nioae.M.:,meso��l <br />CONTRACTOR TBD - Out for bids <br />Address <br />7ENANT BUSINESS NAME <br />TCBY <br />BUILDING PERMIT APPLICATION <br />Use of Buildirg <br />d Use of Buildin <br />� <br />8 I Lic. # <br />COE <br />Group, Attn: Lisa Donmeyer <br />815-369-9755 lisad <br />PRICE OF WORK= <br />t <br />r_.. X <br />ing type: _ Single Family _ Duplex _Townhouse _ Multi•Family X Commercial <br />of project: _ New Addilion Remodel Repair X T.I. Sign Sprinkle <br />CRIPTION OF WORK (addifional space pmvided on the back) : <br />Tenant Improvement - Interior Build Out <br />MECHANICAL PERMIT APPLICATION <br />ofProfect: _New_Addn _Alteratlon_Repair <br />Show Number (p) ol flxtures <br />A/(: _ air hanAlinn iinile <br />Use <br />PLUMBING PERMIT APPLICATION <br />of ProjecL ___New_Addn _Alteratlon_Repair <br />ShowNumbarlN) o/fi�rtures <br />Medical Gas <br />Other: <br />I hereby ceridy ll�at I havc ma0 anA eaamineE Ih5 ap0lcatun and know Ihe samc to Ge hue antl cortect. All pmvcbns ol laws an0 obimnces govemlg Ih's lype ol work wNl be cnmdrtl <br />wAh whether specifieA herein or rwt. The pmnlinp ol a pertnrt tloas rnl presuma to givo aullwmy lo vdate or wncel Ihe provcun olany o�her stafe ar be�l !aw repulaling conslrudpn <br />That I am aul�oriaeC by Ihe aw�r o1 t�a pmperly lo pedortn Ihe work for whih applica�on's maOe anE I camyy w+lh Iho SWte Contanors L. w 1827 RCW anC 496200A WAC. <br />LlJGi ,l�oh�fe�6Y ansna <br />OwnedAuthodzed Agent SlgnaWre Date <br />l� <br />(Revised N2012J <br />