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� � <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., [verett, VVA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />V —'a 9 —I �! <br />Everett,WA <br />AVE. qa�ni <br />Por new cOnslmction�. Short PlaVst <br />, Barry Sarles <br />2975 COLBY AVE. i! B <br />PROPFRiY TA%p <br />004391558021 <br />No._ (allach copY ol �ong legal descnptwn) <br />EVERETT, WA. 98207 <br />NT: XOwner Ownsr'sAgenl Ccnlracmr CoMreUor'sAgent T2fIdt1l�mustp�omaesVnp�ofccr.senlimnmeownerloaawonmmospam� <br />^roR Q W 11P�V Stale Lic. # City Bus. Lic. # <br />BUILDING RERNi1T APPLICATION CONTRACT PRICE OF WORK <br />Existing Use of 6utlding 5 utl i L d pt . <br />Proposed Usc of Owlding 9 uni t apt . �; <br />Bmltling rype: _ Single Famdy _ Duptez _Townhouse x Multi-Family _ Commercial <br />Type of pro�ect New Addition � Remodei Repair _ TJ. _ Sign _Spnnkler _( <br />DE SCRIPTION OF WORK /aed�rronai space pmv�ded on mo back) : <br />Expand size uf existing apt. i�3 <br />(e�imil�Q�1'�9 Unlfi 5) <br />MECHANICAL PERMIT APPLICATION PLUMBING P <br />ot Pro�ocl: _New _Addn _Alteralion _Repalr <br />Show Numbcr (Ml o/ lixrores <br />air <br />1 <br />HE�TSOURCE: <br />Electric X Othcr � <br />�nlition XChanoe olUse <br />APPIICATION <br />oi Projecl: _ N�:w _Addn _Alleratfon _Ropair <br />ShovNumbrrlMl o!/irfures <br />ub <br />washcr <br />drain <br />Medical Gas <br />Other <br />I hercby ceni!y I�al I �ave iei0 an� eramineE Ihu appl:cation rnrt /[ow t�e snme lo be tme and corr^cl FII prov�sions ol lnw, and or0inances goverrvng I�is lype ol wror! wIA be mrnp4ed <br />wilh whM�er SpCcdled �ciein o� nol lhc granLng o� a pertn�l tloes no! D«svme to grvn aultionly lo violate m cMcel I�o pwnsion o/ any oihci sl;�le or lowl law �egulaLn9 cons�mtlion <br />Thal I am au�hou>cd �y!he ownci o1 t�is propertp �o pCtlorm I�C woik Ioi w�¢h , pptmalwn I5 TaGc and I romply wtlM1 Ina $Imc ConbOc�m51 aw 1 B P pCIN anA 79G 20UA WAC <br />O /' �/ Z� <br />17 Gr/�^J f�i �7/' ��'/Y � <br />OwnedAuthorizad AgeN Signaturo Dale I (Rewsotl9/107J1 <br />