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48/�5/2416 FRI g:26 FAx a25 252 1666 CM Heating �j002/003 <br />PERIUII'� APPLICATIO� <br />BUILDING��CHANICAL / PLUMBING / S1GN / 3PRINKLER / DEMOLITlON <br />CITY OF EVERET7 PERMIT SERVICES <br />3200 CEDAR STREET, Ev�RETT, WA 68201 <br />(P) 425•257-8810 � FAX 426-257-B651 �(Ej ever�tteps�evarettwa.gov � �w,rw.evereElwa,gov/permlte <br />_ .. _.v..,. ,. �.,� ,. �. .. � _�_ �—'« -- - - —�--- ----. <br />PROJECT S1TE ADDREBB; �� %��� <br />LEGA� for new construofiion: 5hor� Plat/subdfvls <br />WNER NAME: ( <br />WN�R MAILING ADDRESS: <br />OWN6R PHONE; � <br />CONTRACTOR NAME: � <br />---�•� <br />CONTRACTOR ADDRESS; <br />BTREET <br />c in <br />BYR��Y <br />G 17Y <br />CONTRACTOR PHONE; �U(j � <br />CONTRACTOR LICENS� �t(REQUIREp <br />PRIMARY CON7ACT: ❑ OWNER <br />CONTAC�E; ; � <br />'—G�Y <br />_ ---� � c . - - , , <br />Exlsring use of eullafng: <br />proposed Use of Building: <br />guilding Type: ❑SFR-D@tached <br />Type of ProJeat; �Naw ❑Add <br />DEBC 1PTION O� WOftK: <br />� �1 <br />AS50CIA ED BUILDWG RMI <br />No <br />PROP�RTY T/U( #: <br />(attach copy of IonQ legal deacrlptlon) <br />TENANT NAME (If Commerclal): <br />OWNER EMAIL: <br />STATE <br />9TAiE <br />CONTRACTOR €MAIL: <br />��Uli CITY OF EVERET'r eusiNeas LtcEN3E <br />R ❑ OTHER (Please Speckfy) <br />CONTACT PHON�; � �� � <br />CONTACT EMAIL; Cl1f1.��Pf iv� <br />ContrAct Prlce of Work: S <br />Heat Sourca; ❑Ga� ❑Electrlc f�Olher <br />C13FR-Attached �Duplex ❑Multl•�amlly-# of Units; OCommercial ❑Industrfa! <br />� <br />� �Jl�amadel CaRepatr [1T.1, ❑Sign ❑Sprinkler ❑Demolltion ❑Change of Uea <br />`I ��� �l.�l' �S�� ��l/ <br />l <br />s+�n�vuw�tu�enntn r; r nav� rev�ewou in�a appua�tlon end oonflrn� �he lnlorme«on oanrelned hereM !a lrue and �orract. Work done purauent fo lh�s perml� musf comply w�rh <br />current fedare+l, atare, ond /ocel lew. The grenfing ol p parmlt only eutRar�zes epprovad Work end no devlaflone therefrom. Devlsflvns must flrst be authorlsed /�� wr11ln� from the <br />Bullding Otriclel bafore beinp aufhorized undvr c�ny cfrcumsfence, 1 am �he owner, oi J nm authwfzed by the owner of th/s propeMy to perfoYm tAa work lor whlch epp/lcatlori !e mede, <br />snd I comply wlttf !he Sfefe Conlractora Law 18,2T RCW end 296.2o0A WAC. � <br />Gly ol�vereFt ONlclai UsB onfy <br />PERMIT # <br />W�°�y 1'�� p���� <br />(Revfsed 6/20/2018J <br />