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�ERMIT APPLICATI� <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8557 www.everettwa.org <br />7 — I -�S <br />ADDRESS: PROPER7YTA%N P RMIT# <br />�: ��� LJAi2RnR i Anit EvfQErt, �✓a �yn�-�1 <br />tor new construclion: Short Platlsubdivision Lot No._ (attach copy ol IOng legal descriplion) <br />AtEx Go��rziN <br />5131 NAR6OR LANE <br />Phone/E-mail 41.5 .�.S.j' ¢�'Q� <br />EV ERE iT, G✓A 98Z D4 <br />_Owner _Owner's�genl _Contractor �Conlraclnr'sAgenl _Tenant�m�siP�o,�eo�im���aim,sonitrommeo.mcrioao�.o�Mininc:pa�c� <br />l�l R 7"LC-Y- LOLE ASSOC. L L C �siate �ic. s iU2TLAL 95/BG C�ty eus. ��c. un9L96B <br />io /o SE EVF_2E71 MALL WAY SUlTE /oZ <br />kG PERMIT APPLICATION <br />Existing Use of Building <br />USe OI <br />'EJI DE�C E <br />lIESfDENCE <br />¢L7 6o7�wTv" <br />� PhonclEmail SV�prWppQ�kfY{�I•Co��, Com <br />OR P RMIT <br />E ��vnE2tJoo0 41S 609-0903 <br />Iunder�.x�od� ki►�lty-Co%•Co�» <br />PRICE OF WORK�2 l. Z Z Q• 00 <br />T <br />EF <br />Building type: �Single Family _ Dupiex _Tavnhouse _ Mufli-Family _ Commerclal <br />Type of projecL New Addi(ion .�Remodel _ Repair _ T.L _ Sign _Sprinkter _Demolition_Change of Use <br />DESCRIPTION OF WORK /additional space prov�tledon me back): <br />.SE1SnIC UV6RADE /N C�ZAIi/LSPRCf <br />MECHANICAL PERMIT APPLICATION , PLUMBING PERMIT APPLICATIO <br />7ypeotProjecL _New_Addn _Alleration_Repair TypeolPrqect: _New_Addn _Alteretion_Repair <br />ShowNumbrr(q)o/Iixiures _ ShowNum6cr(q)ol/iztures <br />�If <br />� <br />Numbcr of <br />Other. <br />Other <br />I hereby ceilJy I�al I have rca0 antl ezamined t�is applicalion ana know l�e ;. me Ic �o Ime ar.0 cmreci All prov.;�ons ol I.'us aud o��Lnonte; govemin9lhis lype ol woik vnll bo comp���tl <br />vnlh whr.lhel specifetl hercin nr nol The 9r.�Nin'7 u� a pe�mil does nol G�esume Io 9rve dul0only �o viol9lC or canccl t�c pmvi;ion ol any olher slaie or loc.11 ��w �e9ulaling con.11u<Ilnn <br />Thal I am nulhor¢ed by Ihv ownM ol t�i: property lo .dorm i�c v:oik lor �vh:ch �pphwhon rs madc antl I mmply v:dh I�e Slate Conuar:az Law ID.^7 RC W antl 29fi 200A VJnC <br />�� <br />Own dAuthonzedAgen131gnature � � —_ -��-��--Ualc fRoviscAa/70151 <br />\IZ <br />