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09/17/2016 wED 15:15 FAx a25 252 1666 CM Heating fd002/p02 <br />PERMIT APPLICATIO <br />BUILDING�CHAN(CAL I PLUMBING / SIGN / RiNK�.ER / DEMOLITION <br />CITY Or EV�R�TT PERMI7 SERVICES <br />3200 CEDAR STREE7, EVERETT, WA 86201 <br />(P) 425-257-6010 � FAK 426•257-BBST �(Ej evsratteps(�everettwa.gov � rwvw,ev�r�tlwa,gov/permlta <br />611a��4? Ck�C.�.�.�� �1�,� „�I.�,i1*� � � , QE � �N'�� �� R `'�' 01� . , . <br />� <br />pR0.1ECT SiTE ADDRESS, PROP�RTY TAX �l: <br />LEf3AL for new aonstructlon: 3hort PIaP/subdlvlalon Lot No. (attach Copy of lonp legal deacriptlon) <br />., .,. ;,� , M� ��`�"� �Q�t �iT�oN <br />OWNER NAME: TENAN7 NAME Ii Commerclal); <br />OWNER MAILING ADDR�S3: srReer �� I�, � " t�'r <br />OWNER PHONE: Vj <br />CONTRACTOR NAM�, <br />CONTRACTOR ADDREBg; <br />c�Tv <br />2q�: <br />CONTRACTOR PHONE; ��j <br />CONiRAC70R LIC�NSE #{{�EqUIF <br />PR�MARY CONTACT: ❑ OWN�R <br />CONTACT NAME: <br />,� <br />, ,�. ,,, ;�•. •,,• <br />Exlstl� UsB of Bullding� <br />,_ .. <br />Proposed Uae of Bullding: <br />97'RE@T <br />Cfry <br />OWNER �MA(L; <br />STAT� <br />DTATE <br />21P <br />Z IP <br />� CONT�ACTOit EMAIL: � ,p'}I�,.I/1 <br />MI��Y� CITY OF EVeRETT 6USINE56 LICL�NBE k(REQU <br />NTRACTOR � OTI�ER (Pleaee Speclfy) <br />CONTAQT �MONE; <br />CONTAGr @IVIAIL: CM� �O/ � .v ' ni <br />Con raGt Prlce of Work: $ <br />Heet Source� Gas C]Elaolrlc DOther <br />iqding Typo: ❑SFR-Dvtached Q$FFt.qttachad ❑DUpl9x ❑Multl-F�mily-# of Unite' ❑Commerclel ❑Inr�ii�frinl <br />T e of pro�ect: ❑New CjAddltlon L�I�emadel �1Re elr L�7.1. �❑51 n ❑S rink EI <br />17�sCRIPTION OF WORK: <br />� ��`�-�. �S � � V�w ���� `C�- � � C� <br />�� <br />ASSOCIATED gUILDING P�RMIT # If a Ilceble : <br />• h' , I <br />' - - L�� i '. •� . �� . ����' <br />_ � � .. :. � .. , . . �.��i��rr� <br />Type o� ProJOCI; _Nsw Addn _,Alteretlon �Repelr <br />p of L/at o/Plxtures ° <br />F/xturee �Irturea �!s� oI Rlxtu�s <br />A(`. — AI► NanrVllnrv I In +a u....a n.,_� <br />Gae <br />t Fan <br />er <br />r: <br />❑Dsmolition <br />of Use <br />� <br />�j�-r�., -�'���1�� � �� <br />, ,,,i��r .� ..�ii��w�lZ��►!ll.�hilr;il";wl[111T�:.L"}��;!?`i�.1.4/�'� IV17 <br />■.u. <br />Typ� of proJ6ct� Now _Addn Alte►atlon �Repelr <br />*°� L/at vl Flxfurea , # of �/st of Flxlurea <br />F►xfUreB FlxEuroa <br />Toflst ackflow preventer (Inside <br />er <br />rease <br />r: <br />�GKIYow��OGEM�NTr I hevo rrvlewed ih(s qpp!lcAllon end bonflrm the Informallon oon�ulned holyln la true and correct Work done puraueq! fo lhle perml� muat comply wlfh <br />�urrent faderal, alafe, and looel law. Tha Qranling o/a pormk only aulhorizee approved work and no devletivna therotrom, Drvlaflons must �raf be authorizad In wy�lnp from the <br />3u!!ding 0/l/cla! belore belnp Aufhorlaed uqder �ny clrcuma}Ance, I am fha eWnar, or I em euthorJz9d by fhe owner a! fHl9 prOPeny fo per/orm the wark for wh/ch appllcatloii Is made, <br />ind 1 camply wlfh fhe Steto Convactor9 Law 1 B, z7 RCW and 298,20oA WAC. <br />C/fy ef Everatt Ofticls! Usa Onfy <br />P T � <br />✓ �� <br />evlsed 0/2 16) � <br />�� 4� <br />�.� <br />