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PERMIT APPLICATION <br /> BUILDING/MECHANICAL I PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> n CITY OF EVERETT PERMIT SERVICE$ ...__.,,. <br /> . 32p0"CEDAR STRCET-[VERETT WA 982pt <br /> (P142.5-25T-8810(FAX 425-257485T 1 04 <br /> OaX- � fi f ?+h+"t�14e1� <br /> ((impel www.everetera.gov/penolts• "t_' <br /> , ' SITE <br /> ADDRESS: :' <br /> � �' PROPERTY TAX N <br /> LEGALfor sew construction:,S ort Platisubd.v slon ... <br /> .x.. J41 Na. (ouch copy of tong legal description) <br /> OWNER NAME Al (1 { 4 r <br /> CoNTA.`rtH,,OVic <br /> .,, ?� _TENANT NAME CommeY�Ia1)3" <br /> OWNER MAILING ADDRESS _ <br /> OWNER PHONE:., Air - , <br /> ^. OWNER EMAIL: <br /> CONTRACTOR 0 <br /> I O#ITRACTOR ADDRESS; sT,e_=r <br /> OY t0 ggZ0I <br /> CONTRACTOR.PHONE,"" q 0 ,• CONTRACTOREttt 8, •tri <br /> C ' A6 Ail f0$08 ;:at d 11 A �&5� <br /> C•(R OkIRCkw .vr : <br /> CONTRACTOR 0 OTHER(Please�cily) ` (Dr <br /> PRIMARY CONTACT: CI OWNER i:° ' �fry <br /> pacify) <br /> CONTACT NAME: - - • <br /> • CONTACT PHONE: f-2.S 253 0550 <br /> De.. do LII+ <br /> CONTACT EMAIL <br /> ,tt:" SSS'^ .;° :ter r „}i <br /> °03t1 Uae ofB . .fr a '12le <br /> rs ... :.:,.. .... - Contract Price of Warks <br /> t6.poaed Use of BtdkNtin• _.... <br /> Buell T - Hea Sovrce: OGas ❑Eleotdd ❑Othgr <br /> ©S'f'4;s'Deaatgd OSPRA ❑DtIgIaX ❑Muhl-Famil 'of Links: <br /> .;ofONew OAdditign ORemodP ':'oL i 'I7R r, tclal ❑Indu;tdaf <br /> OESCRUPTft;3N'OS WORK: ❑T•i. OS Ir7"'= OW' ❑Demolition on OChe >of.Use: <br /> ' c 4# of g Q0. "F<Cf✓LCtCsI_ <br /> ASSOCIATED BUILDING,PERMIT# a;3p <br /> Ty Project:"On w SON <br /> Add. Alteration_Repah <br /> , at<&C Type of Project:_Naw `.gado ,_Aiteradon Repefr <br /> NO•AIr HattdlfJ.;t;Jpyts." HOCP§211..:: aC "F/atuns B. ' <br /> Forc"edA(r :ms. "•.. Toilet`„„ _ <br /> MOW revenferMEN '.. •�>Bid=}' <br /> YtC 'Oa EYAuatsl(ip <br /> ,,10/1 nk.l9. eF (e8se. <br /> ovum-• ''s ti)is rINEME®, ionmOiOt t% <br /> arffoal''Cbs ... <br /> Sink aNMq r. e ::: <br /> lather„ "= <br /> ':BE[ESi , - <br /> Y <br /> ACXNO <br /> tVLEDGEMENT:'have tevlawed aas applicationand cools.the infmination contained herein is true end comma Work done pumuent to this arms muni <br /> amen!'sclera!,state,and low taw,The erangng of a permit only authorizes Weaved work and no deviations therefrom.Deviations must first be aae,o4e din wrlkn h <br /> Bukdkrg Off iat befare 6etng eugtcrked under any chcurrslance.I am the owner,art am aulh08.0 by the owner of this P pN I <br /> end IcornplywNi ma Stare Contractors Law 18.27 RCW end 2Se.2444 WAC. 9 am Ile <br /> properly to perform the work mrwhkh at+Pkcetbn N made, <br /> City of Everett Cnkiel Use Cr <br /> *w.sit arta -' t'i1 O• 't� � anal <br /> 01) <br /> 3 d.•. t76atore Gate <br />