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09/15/2016 TxU 8:52 FAx G25 252 1666 CM Heating �002/003 <br />PERMIT APPLICATIaN <br />BUILDING / MECHANICAL I PLUMBING / SIGN /SPRINKLER 1 DEMOLITION <br />CITY �F EVERETT PERMIT SERVICES <br />3200 CEDAR STRE�T, �V�RETT, WA 96201 <br />(P) 425-257-8910 � FAX 425-257-6857 �(E) everetteps�everet[wa.gov � WHnv,evereltwa.go�/permlt9 <br />(s�u�.��:;�i���.�e,+i�'t�inr ' �:����a . � „�, o.�t��r �i�°e : � �r�:p�,�: - , <br />PROJECT SITE ADDRBSS: O �� PROPERTY T,4X #: <br />LEGAL ior new constructlon� 5hvrt PIsU�uhdlvlslon Lot Np, (aftaah copy of long legal descrlpflon) <br />, -1, <br />. � . � � � +��aNTA+�Y ��,�a, �b�i,�,�, ,. <br />OWNER NAM�: � TENANT NAME If Comine�clal); <br />OWNER MAILINO AI�DRES8� STREET L�'il l %r.ca,� ��� � P� vJP . <br />ER PMONE: <br />NTRACTOR NANRE; <br />NTRACTOR A�DR�93; <br />cirr <br />3TREET <br />CITY � <br />CONTRACTOR PHONE; � t�� �� L <br />CONTRQCiOR lICENSE #(REQUIRED):C <br />PRIMARY CONTACT: � OWNER <br />CONTACT NAME: �,��� ��� <br />� ` <br />9TAT� <br />OWN�R EMAIL; <br />l.�f 67ATE �Nr <br />CONTRACTOR EMAIL: <br />� �� Y� ClTY 0� �VERETT 6USINE98 LICENBE iF(I <br />CONTRACTOR ❑ OTM�R (Pleaee 5peclfy) � <br />CONTAC'r PHON�; � � � C�, a <br />GON7ACT EMAIL: �p���� c(,� � <br />`';`.;<, � �; ',�:'.. •�ii� '`, �' p � �;i� <br />�xlstfng Use of Bullding: , � <br />Proposed Use of BuildinB: <br />Contract Prlca of Work: <br />Heat 5ource: OGae <br />OGlectrlc ❑Other <br />Bulldln T a. ❑SFR-DetacMed ❑SFR-Altached LIDu lex ❑MulEl-Famll -# of Unffs: ❑Commerclal ❑Industrial <br />T e of Pro ect: ❑Naw ❑Add{tlon ❑Remodel C.�Re alr ❑T.l. ❑SI n dS rinkler Obemolltlon ❑Chan e of Uee <br />DESCRIPTION OF WORK: <br />c�u�� � �— �� � � -�� c � <br />ASSOCIATED BUILDING PERMIT # If a Ilcable ; <br />;'„;:�; M.�,S�h�'1��11,� 44��� i�a��� IT��1P �`�+�.��#,T ���''' <br />rypa oi,PrpJact; _New Addn _Alieratlon �Rapair � <br /># or l./st of F!xluros # Of <br />Flxlures F/xtures Llaf ofFlxfuros <br />A/C — Alr Wandling Units Heat Puma <br />n <br />- - -.T, ,�i �tr, ��� �, � <br />Number o ea s <br />ACMNOWLEOGEMENT.� I Prav� revlewed thfs app/lcaf/on and confirm lhe !n%rmatlon conlelnbd Hergln �S }rue 9nd corrscf, Work done vursuant to fhls /�ermlt muat comply with <br />cuiren� fedaral, state, snd lqca! law, The greriting of a parmlf only eufhorizea epproved work end no devlaflons tharefrom, Devletlons must fJrst be euthorizad Irr wrl!!n� trom the <br />Bu!!ding 011lcla/ beforo beln� eutho�lzad under any clrcumsfence. / em �he owner, or! em euthorlaed by tha own�� o/ [hla proparty fo perform the wark ivr whlctt applloal/a� Is mede, <br />end 1 comply wlfh the Sfete Conirecfors Law 98.27 RCW end 289.200A WAC, <br />Cl�y o( 6veretf Olflala! Use oRly <br />. � � p�RMIT � ��� � - � �� <br />� �� <br />Own�r/Authorl:ed Agens SIpYy ture D�le R9vsed 5/20/2016) <br />