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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetlwa.or <br />APPLICATIONS ARE ACCEPiED FROM 8 AM TO 4 PM �j � a 6`I � <br />ITEADDRESS: 505 SG Everett Mall Way PpoversttTaxu See Attached PERMITtt <br />�iuns_oi5 <br />lo�newcanstmclion: Short <br />Doug 6ean & Associaics. <br />1211 SW Sth Ave, Suite 1940 <br />No._ (atlach wpy ol iong tegai tlesaipoon) <br />Pordand, OR 97209 <br />_Owner _Ovmer'sAgent _Contraclor _ConlratlofsAgent �TE02ni(musipmviaeaienerotcon;m�nommeo+nmmao.o:�hmespace� <br />I Lit # <br />Sports Authority �556 <br />ING PERMIT APPLICATION <br />COE Bus. Lic. # <br />Ivie�issa Louk - TSA Stores, Inc. as Tenant <br />720-475-2121 /mlouk��sportsau thority. com <br />PRICE OF WORK _5250,000 <br />ExisGng Use ol Building Retail HEAT SOURf.E�. <br />Proposed Use of Buitding Relai] _ Gas_X_ Eiectric__. � <br />Building type: _ Single Family _ Duplez _Townhouse _ Mulli-Family � Commercial <br />Type of projecf. New Addition � Remode� Repair _ T.I. _ Sign _Sprinkler _Oemolition_GhanpE <br />DESCRIPTION OF WORK /ade�rrona/ space prov�ded on tne back� <br />Tenant interior remodel to inclue fixture move, cuslomer service, paint, (looring & graphics. <br />MECHANICAL PERMIT APPLICATION <br />of Projecl: _New_Atldn _Alteration _Repair <br />Shaw NumLcr (f7J o/ /ixfuies <br />I A/C — arc hantllina uriis <br />PLUMBING PERMIT APPLICATION <br />ofProject: _New_Atldn _Alle�ation_Repair <br />Other <br />Othec ` <br />I nemby unily Inal I have reaE anG e�ammed I�is aODbralion anU know Ne same io Oe bue an0 cortecl. AO provisians of laws and ar0inances goveming I�is lypo olwork will0e compSea <br />wilh wiielner speGfied herein or nol. The 9r�nling ol a petmit Coes no1 presume lo give aul�anly to violale orUnCpllhe pmvrsion ol any otner stale or loGdl law regWaling conslNction <br />That I am auihonze0 Dy tne owner ol t�is pmperry to Perlofm t�e work lorw�irli applKation rs maCe anG I compy wi�� Ine Sia�e Contractors Law 1827 RCW an0 798.200P WAC. � <br />� �A-$�+rt5 1Nc, n��P�Jlon� .� �1�-'' � <br />OwnerlAuthorizedAgentSiqnature Date ' (RevisetlC�20f2) <br />