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BUILDING / 11 L / PLUMBING / SIGN / INKLER / DEMOLITION
<br />tTT
<br />_ CITY OF EVERETT PERMIT SERVICES
<br />3200 CEDAR STREET, EVERETT, WA S8201
<br />WAMNGTON (P) 425-257-8810 1 FAX 425-257-8857 j (El everettepsCgeverettwa,gov j www,everettwa.gov/permits
<br />��!TE ADD € ESS: 2 Wetmore Ic re avenue, Everett WA 98201 PROPERTY T� #.00437037902100
<br />Short Pla'bui v�s�on.._. _L rt No, _.._ (attach copy of long legal d sciptivn
<br />OWNER NAME. Michael LarsenTENANT BUSINESS NAME (Corrimercial)-
<br />OW EER MAILING ADDRESS: S1REET1 24 Wetmore Ave
<br />�-ON'TRACTOR NAME:
<br />', rTY
<br />$TATE
<br />zip
<br />�ONTRACTOR PHONE CONTRACTOR EMAIL:
<br />'O TRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESSLICENSE # (REQUIRED):
<br />,IVARY CONTACT: 0 OWNER E3 CON ; RACTOR C OTHER (Please Specify)
<br />„.«...,.W...
<br />INTACT NAME: lE: CONTACT PHONE:425-252-6538
<br />Michael Larsen CONTACT EMAIL: mike@pgsoft�vare.com
<br />+ t �� t ° StrILUt q: L Br Cu Contract Price of Woi
<br />'-,(I Use of Building: n/a
<br />Heat Source: ❑Gas
<br />> r' T owr:i� ise -Duplex L]ADU ._A'lulti-Family - # Units
<br />—'Addition EIRemocel "EDRepair r7T,L (I51gn Spririk
<br />fie' Demolition of garage and attached shed structure
<br />EJElectric 00ther
<br />Strip lur ,
<br />• - .:� . count
<br />� List of �a'xFrrr¢ FPxa�.'r�'
<br />< ®s e List of Fixtures
<br />Gorrnt
<br />PVC Air Handling Uniis Gas Pipir1q
<br />Ier Gas Range
<br />liCio:h s Dryer ? rnpBDuctless
<br />_ Svstenn €Rernodei') Refnperation
<br />F u`1 st Fars #ResidanEial) CofTlll8rci2l VerafElatio:
<br />a a L't Y 000(T pe Ij (Not HeatfAC system)
<br />L mat
<br />FlX�iJY6
<br />x ' 'st of F'Pxt ._
<br />f.t
<br />List of Fixtures e � Count �
<br />Backf o+,1 rreventer (Inside Bid g) Sh, �,Jer, or
<br />Clo ti�es "tdesher
<br />D!s}-�asher SaiEk ReScent F t, .,,., .
<br />Dr�r�kln Fouttteir� I .-
<br />Sdtii6
<br />Floor Drain Toilet
<br />---.....,..�...:.............. ,_ .
<br />Hose Bibb tUranel
<br />t E Jdabe, M eater
<br />iwt
<br />,A aier Piping Rspair
<br />�
<br />Wood Stove
<br />rote ceptUr-Saierdf0i3 Wstetvlrace
<br />p si Ce ebehaiit� m8f •r
<br />•
<br />cee Air Symms Other:
<br />medical Gas W2W- Valves or Fixtures
<br />v,as Fir€[+laceilt serttl,og
<br />i C
<br />ez
<br />ryry ry
<br />!Z e{73 Drains Y'f W dt�rt Heater
<br />PP
<br />uewage Ejector or St,;mp E,.rr3p 1tDtlner:
<br />..i_I No o heads
<br />,... -
<br />..c�. ,b, i'inac?s
<br />? have vtv a r, a"On af,d cent in the information contained herein iswuo a Sri Corr ei;t, Work done p irsuant lq tHls par,,nri
<br />,.. .Pid iocaf law.. The 0� dr.. _ g of a permit only authorizes apotovedwork and no deviations therefrartr. Li6vi9libris must First ba as thoriaed In
<br />- 4 e&ing at€throrizad ureter any cirounistance, i am the ovrner, or f am authorized by the owns r of bets trope ffy to perform the work rbr which
<br />:eta Car€trac$ons Law 18.27 RCW *i%d 296, 20QA WAC.
<br />City of Everett 0,11;ciai Use, rgly
<br />,a.i@; "iAiB :r?n7rd .0 ;.a -fit s`.,,. .0 rE'•
<br />...-�......_,.�.®.>.,,,
<br />Date
<br />-�—.
<br />(Revised 70/10/2018) /
<br />'lz
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