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! <br />PERMIT APPLICATION <br />BUILDi�1GIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FA;( 425-257-8857 www.everettw—a7.org\ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /— d-'� <br />607 Everett Mall Way <br />lornewconstmction: Short <br />, UBC T_nc <br />2515 140th Ave NE <br />0304000 <br />No._ (ettach wpy of long legal description) <br />425.644.4100 <br />Bellevue, WA 98005 <br />Owoer OvmeYSAgent X Contractor ContrectorsAgent _Tenantim�si�w�aea�encroimnsemnomi�aov�nerioaowon��nmescace� <br />�R Clarity Signs �&iLic.ii CLARISI883J0^ ^ COEBus.�iaii <br />_ ..._ , ..r�.. �,-,rvc�nnG. <br />7204 175 ST <br />tPlAIVI tlUalnWaivr.mc <br />Pacific Rehabilitation Centers 425.449.5983 jaym@claritysigns.com <br />Phone/E-mail <br />BUILDING PERMIT APPLICATION CONT�u+Cr PaiCEOFwoRK S4 , 500.00 <br />ExistingUseofBuilding Physical TheraAv HEA7SOURCE: <br />Ph sical Therapy Gas_ Electric_ Otl <br />Proposed Use of Building �' <br />Buildingtype: _SingleFamily _Duplex_Townhouse _Multi-Family X Commercial <br />T pe of pro�ecl New Addition Remodel Repair T 1 X Sign Sprinkler _Demohtion Change � <br />DESCRIPTION OF WORK (adtlifional space provitletl on fhe back): ` P� ^} �� �`2�T <br />U �. � S C—r- � � a-n-. �-<.Tri1�-S d <br />ci � '� SC-r �-Or•�m i�^r_+r-t �R5 <br />h1ECHANICAL PERMIT APPLICATION C <br />ofProject: _New_Addn _Alleralion_Repair <br />� �R-+� �L L2�� � <br />PLUMBING PERMIT APPLICATI <br />ofProject: _New_Addn _Alteretion_Repair <br />Olhec <br />� Number of Heads <br />I �ereby cr.�dy Oml 1 �ave rcad nn0 eRamined Itiis appliwlion nne know the snme lo �e vue nntl correcl Ail pmvisions ol Wws onG orainances Boveming Nis ryDe oi vrork will Ee complia0 <br />�hlh �Melner.pecdietl herein or no1 ihe pmnlinB a� � Pe�mn Does not Dresume to 8ive authonty lo vioiale or wncci l�c provision ot pny olher stale or local IawreOulalinp constmclion <br />lhat I am aulhoniea by ihe o���e•r ol this prope�y to petlorm Ihe ��rk lor �Mic� opP���lion is matle and I wmply �vim Itis Slate Conlracmrs Law 182] RCIV and 25i200A N'AC. <br />r1 <br />r` 'U`„� g�a,..�-� r9 �z% �'3 <br />�' � Dale (Revised 62072) <br />OwnerlAul ed F9enl5ig�aWre � ( � <br />I <br />