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i <br />PERMIT APPLICATION <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 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '? "% Oi—. Z <br />ADDRESS: PROPERTY TAX # P Ml�g—U4� <br />:f1, � h-i 1= 4-1(A)(-)ST U <br />for new construction: Short Plal/subdivislon Lot No._ (attach copy of long legal <br />>c- <br />S J o 3 U (� Q� (^ ✓L C� %Lr%(- % L )A- yCitYlStetelZip Jq 4-r'T WA <br />NT: _. Owner _Owner's Agent AContractor _Contractor's Agent _Tenant(mustprodde a loner ofwmanteom ew ownsrtodowondnmsapace) <br />CTOR J JAI -Le C S. GLG L s I Lic. # 1 Af PY V ( 3 COE Bus. Lic. # <br />3 q n, gall Kn -/'L ,VJ I SG}x//� f� Phone/Email <br />BUSINESS NAME CO TACT FOR PERMIT + <br />Mttc(,' Qas�NAAC <br />m u N1�'- ?Jg75G5 1 <br />LDING PERMIT APPLICATION <br />Use of Building <br />PRICE OF <br />Proposed Use of Building `/ <br />Building type: _ Single Family -sue Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of project New Addition Remodel Repair T.I. Sign _Sprinkle! <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />V2e0L,')r <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New_Addn _Alteration,_Repair <br />T <br />PERMIT <br />of Project: _New _Addn _Alteration _Repair <br />Other: <br />Gas <br />I hereby certify that I have read and examined this application and knc•.v the same to be true and correct. All provisions of Imes and ordinances goveming this type of workwill be complied <br />with whether specAed herein or not. The granting of a permit does not presume to give authority to violate or canal the provision of any other state or local I" regulating construction <br />That I am authorized by the owner of this property to perform the work for which application Is made and I comply with the State Contractors Law 16.27 RCW and 296.200A WAC. <br />m...d...w enMOh <br />