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PERMIT APPLICATION
<br /> BUI=TVG i MECHANICAL f PLUMBING(SIGN f SPRINKLER(DEMOLITION
<br /> vatirai
<br /> 2,!TY OF_V=RETT PERMIT SERVICES
<br /> 3230 CEDAR STREET,EVERETT.WA 33231
<br /> ;Pb 533-257-3313 ! FAX 425-25T-3357 I(_} v ryft=.3> U.,<=r3'.wa.pv I wery.eve7at!wa 3Dv:a<rrni'3
<br /> (31ue or Etlack.trik Only Plasm) 'PROJECT-S TE INFORMATION
<br /> of r'RO3cCT SITE ADDRESS P -, j "" '"
<br /> j61 - 6/, ' __ C 0
<br /> PROPERTY TAX I�, Lr°
<br /> LEc;AL -,,y...v nn>,u.iion. S-Lis.
<br /> Lit Na, ra:`ach copy of long legal descnotion#
<br /> CONTACT INFORMATION
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<br /> _c .'f4_R NAME' Inc,„, t rcNNT NAME 3f11117A•llAii
<br /> DWNEP%A?_ ' »
<br /> ADDRESS, 7="_ J�
<br /> OtJ4'�iERPHOfVE: ,�� � '-
<br /> CONTRAOTOR' NAME; `-ria tf t C
<br /> CO'4TRACTORADDRESS: ,--: = It-4.1
<br /> 0 61451L1)
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<br /> CONTRACTOR PHONE, arar-_ A Ir 7_15 f r i
<br /> 2. 0 50 CONTRACTOR EMAIL
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<br /> PRIMARY CONTACT: 0 OWNER
<br /> 4©fNTi�ACTOR 0 OTHE ( lease Specify}
<br /> CONTACT NAME: --- RPqq�
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<br /> CONTACTCONTACT PHONE: L.Z 5 Z5C? �„ 5D "'",""___••.-.1
<br /> EMAIL: �......1 'w rat Cft,3 i
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<br /> Contract Prfco of Work:$ G,c`
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<br /> 0.,.sC2tPTEONi OF WORK: 4 'reg �t ORYo i' Eli 1, 0 n 05 r ciy ©Dsmolltia I,}Chakst a of U>>
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<br /> Tv'�3 of Project: ,craw Addr, ;PL�1ME3I;?JC3`Esft�l4'If"f"�API?LICA'["t'tiN
<br /> Alteration Repair p
<br /> #of Typa of Project: New gddn Alteration `P
<br /> Repair
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<br /> ligrai
<br /> lail
<br /> IMSMKI
<br /> Wiz?rr.n 4.ott.E.4rarar_.. --14at- FixFi Cres #of
<br /> art ores FiXturns ti3t of-Pittt:we -_.__
<br /> IIIIIIIIIIMSICIMIMMEIMBEIIIIIIM Heat Pump Toilet
<br /> Ba cf(aw Preventer p
<br /> IIIIMI Forced Air Systems atht
<br /> Gas Piping
<br /> 1111111111 Clnif Heater NMI SathtUa Inside Bier,)
<br /> ,Urinal
<br /> 1 �aillinRefrigeraticn Shower Nillirsin) Floor Fountain
<br /> �Wcor!Stave MN
<br /> Floor Drain
<br /> • CrJc#tn• Kitchin Sink&Cat`s�csal Grease Trap
<br /> MO Clothes 0 er HockUps DishwasherTante Hoa:d Other: Clothes WasherAIIIIIIL
<br /> Roof Drains
<br /> aMIMI Nater Heat-
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