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12;0)PM EVERGREEN STATE HEAT & ACp,pfl�ICA,�`�oN N��� 76u2 P, 1 <br />BU1Lllli iVl�C�lAI1�ICAL 1 PL.UM�ING I SI�R'::—'1:,1�11r�LCe21 D�M��I1�IOiV <br />CITY OF EVER�TT PERMIT SERVIULu <br />3200 CEDAR S7R�ET; EVERETI`, UVA 982D"I <br />(P) 425-257-881 o i FAX 425-257-8857 j(E) everetteps�a evereLtwa.c�ov j wv�r.evere[twa.gov/perrnlis <br />��r:v ����s�� : .., �. � ��.�:����-:�����������i���oi� . � : .�. ... . � ,— - . .�. � -, - . f� <br />i�130J�CT SIT� AbbR�5S: �j(� — Z� rjr � P�iOpERTY �A?( #: <br />LEC-rAL for neui cons[nlctfon: Short P1eUsuh�wislon LoE No. (altach c,opy of long 1efla1 descrlpilon} <br />� <br />,�,�;. . . ... . , . . . . • :'8�1��.D�NC�.RER1Nl'I°_APPLICl�TIUN ". � . - .. , - - . - • . <br />.:� � ' .� - � • .� _ . <br />E�:lsfl��g Use of BuIlding: ConfracE prica of Work: � 6��J' <br />Pro osed Use of BulldirLq: Hea� SouYCe' C1Cas ClElectrtc ClOthel' <br />Buildinfl 1 e: ❑SFFt I�etacheQ C�SFR-.4ttached C�Du IeX ClMultf-�arrtil -# ot Units: CICor�-imercial Clfndusfd�l, <br />r e of Pro ect ❑NeW L7Addf�[on I�Remodel �1Repalr C�T-f. l�Si rl ❑S rinkler ClDemolifion C(Change of Use <br />b�SGt�1pTlOt�IOF WORI<: ��6� ��� ��s ru�c�, �'0 �� � �o �6 1N �G�-�C��,� <br />ASSOCIATED SU1LDiNG E��RM17# pf applica�le): <br />ACKNOYVLEi7GgMtNT� / have revlevred lhis epplicelian end conllrm 17,s Inlormatlon contalned h ereln /s true arrd correcf. 1Nork done pursusnt to l�ils permlt must camply vrirh <br />curient federol, stafe, end 1❑cal/a�v. The gr�nting of a permFt only aulhoilzc�s spp+avad work endno devfations fherefym. Aev�afrons mustfirst6e aulhonzed in ivriiinyYrom the <br />Auilding Offiaal befoie belny aulho�ed undersny ci/cumstance. I em ths o�vner, orl am autho�ad by the ox�ne�oFlhls p�op�dy to perPorm tho work for whCch appllcatron is made, <br />and f comply tivilh fhe S�afe Contrncto�s [ew 10.2 y RCW and 29B_200A lNAC <br />� <br />d Affent Sl�tr�Eiire Date <br />CI(yofEvereff Oi9icfal Use only <br />PERN�lT� � V � � <br />(Revlsed �20i20�6J <br />