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PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />ID-a-� -i� <br />ADORESS: 1S SW Everett Mall Way IDROPER7VTA%p 2845oaa <br />br new mnslrucnon $no� <br />6ank <br />15 SW Everett Mall <br />No _(attach cooY al long legai Cesrnouon) <br />Everett, WA 98204 <br />�/� <br />_Owner _P�er'sAqent X Conlrector _Conlractor'sAgent _Tenanti�,�+iawnac:c�c+mnenrta,�vnw-.�nca.cn�v+ <br />2-5 Design & Manufacture � <br />8751 Commerce Place Drive Lacey, WA 98516 <br />Heritage Bank <br />ILDING PERMIT APPLICATI4N <br />Lic ttISDESDM934BP1 GtyBus.�ic+t 020900 <br />Peoneiemau 8 0 0. 4 5 9. 2 9 6 7 <br />Susan Hier 600.959.2967 <br />Phone/E�maJ Susan@i5design.com <br />CONTRACT PRICE OF WORK $6 , SOO <br />Exis6ng Use ol8uiltling H. i.aQE B2nk HEAT SOURCE- <br />Proposed Useof Bwlding Heritage Eank Gas Eiec�nc <br />Budding rype _ Single Family _ Duplex _Tawnhc�::se _ Mulh•Pamity � Commercial <br />Type of pro�ecl New Adddion Remotlel Repai� T.I. g Sign Sprinkler _Demolihon_Chan <br />DESCRIPTION OF WORK (admnona�spare pm��dedon me eack�: <br />Install (1) set of exterior channel letters on building <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _AAUn _Atteration _Repair <br />Show Nambcr (tl) ol firfures <br />I AIC - air handhnq umts <br />SPRINKLERI <br />BING PERMIT APPLI <br />ol Projec�: _Hew _Addn _Alteralion _Repair <br />Shaw Num�cr /pl o! fi+fums <br />Med�cal Gas <br />Other <br />I �ere�y cMEy irtal I have rca0 aM e�.ammM ihis ap0'+��� anE Fnaw Nc samc to pe Irvc ana mrtetl. NI pmNvons ol I.iwf ana oNinances Ba+emnq Inis ry0c o! v.vrt w+0 Dc mmo <br />wN nTclher 5pcafiN �ere:n ar ml T�e Bran4n9 0l a pelmrt does nol presume in grve auV�anly to vrol,re vr �incel l�e pmnsian ol any ather slate or bwl Ww rtyula4np canstrucUon <br />Thal vn aulhoniM Cy Ne awncr ol lhn pmperty 10 OeAoim I�c wotk lor w1uUi a00���n� � maDO dnC I mmpN �^�� I�e Stdle LonVatlors law 1 B 21 RGY! an0 I9G.200A WAC. <br />��.�bG= l� �� <br />Owned uthonzedAgentSignaWre � � lRevisetl9R074J � <br />� � <br />