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08/19/2016 TxU 7:52 FAx a25 252 1666 CM Heatinq 1�003/OOa <br />• PERMIT APPLICATIO[� <br />BUII.DING / MECWANICAL / PLUMBING I SIGN / SPRINKLER I DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-6890 ��AX 4a5-z57-aa57 �(�) everettep9(a�overettwa,gov � www.evarettwa,gov/permlts <br />(BI��1'+�it lad� l�i 't"1'n1y P1����1, R.1�0'JEC,:T�,B�.'�'�' N�rO �111�►Y ,N, . <br />PFtOJECT 81TE A�DRESS: (� ����' � PROPERTY TAX #: <br />LEC3AL for naw constructlon; Shorl Plsbaubdlvlslon Lot No. (attaCh Copy of long 10gAI deacrlpflon) <br />: ; � s:, ,. � . . , . , . , �;0�'ib�i�lNp'ORNiA'T'I,Q-� . , <br />OWNER NAME: � e 'f�NANT NAM� If Commerelat : <br />OWNER MAILING ADDRESS: ssaeer �-1 ��i �Q ��lY � l�,C� <br />ER PHONE: <br />NTRACTOR NAME: <br />NTRACTOR ADDRESS: <br />cirr <br />STREET I `�1 <br />arr <br />CONTRACTOR PHONE: f.-f O�� j� L <br />CONTRACTOR LICEfVSE #(REQUIRED):E <br />PRIMARY CONTACT: �] OWN�R <br />COP[TACT NAME: � <br />�����1� <br />���Uf f _ - , ' iyiiii� . �`�; 1 „ .:�� <br />Exlsting Uee of 8uilding: <br />f'roposed Usa of Bulldkng; _ <br />Bullding Type: ❑SFR-Detached ❑$FI�-Attached <br />Type of ProJect: ❑New ❑addltion ❑Remodel <br />DESCRIPTION OF WORK: �� <br />EMAIL: <br />sraTE <br />STATE <br />ZIP <br />CONTRACTOR EMAIL: ' ' <br />�� I� CITY OF EVERETT SU81NE$8 UCENBE #(REQUIR <br />��.. <br />❑ OTI�ER tPlease Specify) <br />CONTACT PHONE: <br />CONTACT QMqI�; Y1/ <br />Contracf Prlce of Work: <br />Heat Source: ❑Gas <br />❑Dupiex ❑Multl-FsmllY-# of Unfts:_ <br />IRepalr ❑T.I. ❑Si�n ❑Sprinkler <br />�n�5�'s.� C�i u�C� SS h� <br />�� � <br />IA6SOClATED BUILDING PERMIT # flf aoolicabla)� <br />❑ Electric ❑O <br />❑Comm <br />❑Demolition ❑� <br />C]Ind� <br />a of Use <br />ACKfJOwLEDp�M�NT.• ! heve raviewed lhls appllcatlon and oonlJrm the Inlormetlan confalned here/n !s true and oorrect. Work dona pv�suent to fh/a parmit musf comply wlfh <br />curr�nt federel, sfaf�, and loas/ Isw, The grantlnq of m parM;l only autho�izes appraved warlr end no devfativna �herefrom. Dovleflona mus� f/raf b� au�horized !n wrlt/ng Irom the <br />6ullding 081clel befor+e be/np eufhorized under eny C�rCumslance. ! am lhe owner, or 1 am aufhorlaed 6y fhe own�r ollhfs p�operty b perlorm fhe work /or whlch eppllcQt�on !s made, <br />and I comply w!!h !ha Steta Confractor� Law 18.37 RCW snd 289.200A WAC. <br />Clty o(Everett 011lclal Use Only <br />� ����`� �� 0 � � C�C.� � � <br />Owner/Autharizad A9ant 81pn tura te (Revlsed 6/20/2016) <br />� . �5.�� . <br />