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PERMIT APPLICATION <br />EtUILDING/MECHANICALipLUMSI�VGISIGNI'SPRINKLER/DEIViOLITION <br />CITY OF EVERETT PLRMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257• 3810 — FAX 425-?.57-8857 — www.everettwa.org <br />APPIJCATIONS ARE ACCEPTE'J FROM 8 AM TO 4 PM %— 9`� 2 <br />Hoyt Ave <br />la new wnslruqion: Short PlaUsubd <br />2 The Everett Clinic <br />3901 Hoyt Ave <br />;ncTOR The Everett Clinic <br />3901 Hoyt Ave <br />The Everett Clinic <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />PAOPERTYTA7(rt ppollyppG02200, I rc�a, q'+g <br />ooa„aooboo,oi.00aa„oosoo,ao �(IIL <br />Lol No._ (anach copy ol long legal description) <br />Pfwne/E-mnil 425.339.4286 <br />ary�s�a�amP Evefett, WA 98201 <br />� g i �;�. � Building Owner - N/A <br />Prane�mai� 425.327.4726 <br />coNTncr FOR PersMir Janet Monda <br />Pranae-mei� 425.823.2244 janet@awerks.� <br />CONTRACT PRICE OF WORK„ S � CO,OCO <br />HEAT SOURCE: <br />Proposed Use of Building Medical Clinic � Ges_ Electric_ Other_ <br />Bullding type: _ Single Family _ Duplex _Townhouse _ Multi•Famlly X Commercial <br />Type of projecl: _ New _ Addition %� Remodel _ Repair � T.I. _ Sign _Sprinkier _Demolition_Change of Use <br />Descriplion of Work (edditionni spoce providod on rho boch): The projecf consists ol alterafions & remodel of an existing room at an exisfing <br />edicel clinic. No ezterior work lo be done. New work to includa remnving non-bearing metal sfud �vell partitions new f/oor covenng, <br />eiling patch & repair, a4dn�difir � � � <br />. __ . . . . ..... _ . _ .. . _ � _ ,..�.--'--'---'' <br />you atarted working wlthoul a p�rmlt7 _YES <br />MECHANICAL PERMIT APPLICATI <br />of ProJect: _New _Addn _Alteratlon _Repalr <br />Show Number i tl) ol llxiurea <br />PERMIT <br />af ProJect: _New _Addn _Altentlan _Repalr <br />Shnw Num6er fNl olOdurcs <br />Olher. <br />Ges <br />I hnreby rartity that I have reatl and acaminad lhis application and know �he same lo ba true and wrtad. All pmvisions of laws aM ardine�ces Boveming <br />lhis typa of work will be comdied with whethar .•.pecified hereln or not. Tha B���ing ol a pertnil does not presume ta Bive authority lo violele a cencel <br />the provision of any olhar stale or local law ragulating coostruction or the pedormance o1 rnn,WcGon. That I am autAodzed by Iha owner ol �his property <br />to podorm lhe work (or efiich aOP�iwtion Is mada and I comply with Iho Slala Contrectors Law 1827 RCW and 298.200 WAC <br />�—��� � ��� � I �.-IS-I I <br />O e Authonzad Ag t Slpneture Dale <br />�Re�ised vto„� <br />��2 <br />