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Aug, 24. 2016 7:37AM EVERGREEN STATE HEAT_&_AC,�p����,�-��Q� No. 7736 P, 1 <br />BI�IU�bI� NI�C�-IAC�IC,41� 1 I�l.UMBIN� I S1��Pl�1��CL�P.1 D�C�IO1.ITlON <br />CITY OF �V���TT PERMIT 5�RV1 <br />3200 C�DAR STR�ET, �VERETT, WA 98209 <br />(P) 425-257-9810 j FAX �2.�-257-8857 �(L�) everettepsQevereltv✓a.gov ��vw�v.averett��a.gov/perrnits <br />���n� q�.�yAaF�t Y9�i� O�98S/ k!4e�S�) ' P�O.➢,���Y.�1"�"�' dA����2I1fl�ill�4?�1 :- . -_ _ � . , . � . <br />PROJ�C751TEAbb�C�SS: � 1'���'�k`��Y���� _� _ <br />LFGAR for ne�,t constntciion: 5hotf P1aUsubdtvlsl�n Lof No. (alta�fl �:4py Of lopg legal descrlptlon) <br />.. . ... .:-� - :-... -- -- ��- -._....- - - <br />�.�,;, ':: `: ;.. . , : � - � � - BUII,DIIS�_ RLRIVlE'I' _APPLIGA,TION � ' ' . ' - - . � . <br />�xisiinq Llse of �uifdlnc�: Confract price of Work: $ o <br />Pfoposed Use of Bulldfng; Heai SoUrce: 8s Q�IectRc �]Other <br />Building Type: C1S1=R�Detached ❑SFF2 A�tached ❑Quplex ❑Multi-�ami[y� of Unl�s_ Qcommercial C�lndustrlal, <br />ij�pe of ProjOCt: ❑�lew C�Addlffon ❑l�emodel C1Repall' CiT.L ❑Si�n C1Sprink[et �Demolition 1�Ghanqe of Use • _ <br />A�SCR1PTbN O� WORK: <br />CJ��r� o� � �� ���-� � ,��� ����., /��� C��,�� <br />claTEp �urLbru� p���u1r � (if <br />ACKNOW�,EDG�MEniT I have revlev,led this spp!(catlon and confirm the informatlon ca�falnedhere/n Is true and correcf VYork dane pursnent fo ihfs pe�mltmusf campty wifh <br />currerrf fedara/, sPate, snd lo�el�aw, The grsn9ln� of a parmif onJy euthvriz�s approved wodc snd no devfafrons lherefrwn pe✓afions must flrst be authonzed in �in7ny from the <br />Bulld/ng Offlclalbefor� b�ing aulhoAzed underany arcnmsfance, ! am the owne , orl am entho»zedby �he ownerof th/s property fo perfor�n the �vo�fo� tivhlch spp/lcation is meda, <br />and / compd v�th the Staie Contractors Law 1d�'�CN/and 286,2oop CNAc <br />g '2'-� �l, <br />Ovrner/Authorfzld A�elSt S�AEure pa�e <br />cny of E`verert o�rrcra� use onry <br />P�RM(r# �� n � � � � �� � <br />iV� <br />(Revised �20l.2096) , <br />