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10/30/2013 10:11 42558286�9 THE DAtJIKA COM?ANV P4GE �2/07 <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/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.everelt�va.org <br />^__ ._____ APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�Grand Ave EVERETT <br />lor new cunslruc�ian: Snort P <br />i Jessie Ovendale <br />3805 Grand Ave <br />� <br />3614 73rd Dr N <br />a <br />Na�� (anach copy ol long leyal Uescr�puon) <br />Phone�E-ma:l <br />1Q IL S I Lic # <br />WA 98270 <br />425314-2773 <br />EVERETT Wq <br />DANIKPC916LQ <br />PhcnaEmail (425)335-3515/info� <br />)R PERMIT <br />Jessie Ovendale <br />ikaco. com <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORKv v$,�iOO (lO <br />Exislinp Use of Buildinc� HEAT SOURCE: <br />PwposeA Use ol Building <br />Ga5 E°lecvic Olnor <br />9uilding lypa � Sinqle Family _ Duplez _Tov:nhouse Aiulli•Family _ Commemal <br />iype of proioct: _ Now _ �tldi�ion _ Remodel Repa�r X TJ _ Sign _Spnnkler Demolition Cl�ange of Use <br />�eSGfiption of �Norh (addit�onal space proWCed orr I�e baCkJ: <br />Have you started working wi�hout a permit? �(_YES _NO <br />MECHANICAL PERMIT APPLICATION <br />fype ol ProjecC _New _Addn _qltoration _Repair <br />(12d(Gf <br />PLUMBING PERMIT APPLICATION <br />ol Projact: _Now _qddn _Altcralion �Repalr <br />h1eAi�al Gas <br />OthCr: <br />I horeby certity Ihat I havo reatl and eraminea th�s aeplitalmn and know Iho somu lo be truo and mnecl All pwvlsiors of la��s anC ortlinances govemin� <br />Ilus �ypi; of ��mk vnll Oe Complietl xit� whothor cpe:iGod hereln or noL Tho yraniing vf a permit tloes nol presumo to gire uulnor�ty to violale or q�ncel <br />Ine prov�x�on of any olhor state or lowl law regulaUny wnstmdion or Ihe pedormance ot construclion. 7ha; I am authon.etl hy Ine ow�ner ol tnls p�operry <br />lo perform the weik for r.4ich ayplicalion is made ana I comply �hth the Slale CoNnctors La�.v 19 27 RCVJ antl 2962C0 \VAC <br />OwnarlAulhoritotl Aycnt Si9naWre Date <br />(Rev�scd "J?017J <br />II� <br />