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---- ����i� ,�������,���� <br /> .: ��9�_�i�Jfi,IMf��;3•�i��1�4,.1��.f���.�61A�9�9�1���E�l:���al�KC�����l���f�f��..�1 o'd��� <br /> CITY OF F_•VE?ET7 f�r FtMil' :;=2VI(aEti <br /> 3200 Cedar St , 6verett, WA 98201 425-257-8810 FAX 425-257-8857 �.mvw.everelhva.org <br /> / -03- 15 <br /> SITEl1DURG55[T..--�„-.•....—,_'— :-•_'L=' . ?ROPCRTYTA;(U — �_ � P-RP911'Y. `L-'-'•�-•• _ <br /> 5�_0�Co!l�—��-.l��z��,� .—.�.��.__... _ �. �— �II_ _ <br /> LEGAL for ne�:i constwdion: Sl�atl FlaVscutliv�sirn� Vm, R__Lot�Jo._ (�liach copy nf Icng le�al tle;criplm��)� � _, <br /> OWNER ��yGL'�.--l.�.v_�,�� _..�....a� �. Fhone E maJ�� Z�� ` ��5� ... <br /> ✓��{ /���/��/� 7�J cn is���a� •�JG}'� /', 9�' � <br /> i?(�[�fC55 ����1�._�:s+K2L+,1lf�/��I.//L .-._ .Y .w��V^�4,�-...W�� •...�.�-�������—�.._ <br /> '�- � <br /> APPLICANT: �r.;er G::na'sA9ent xContractor Centra[!or's4gent _Tenznlb*.�vF��-�.m.r�u,�ctcrni-��irco�ni^�,c::��raro,..«x��..�ces�.aNl <br /> ..��--._ —�_— — �._ . -�-_"--,.:_:_�..���.._�..__���.. � <br /> COt�TRACTOR Cv"IZto1u_2'tJ C��Ri(J ������� nC- StatEeLic. ?!L-',,C�Z(j�OZZC) CilyBus. Lic.�tLU' S� ! <br /> . <br /> 1'4_' _ <br /> — �l 4Z5� Z52 -3 ��.s <br /> .�� �� �� phcn��Emr�l <br /> A.r;dress '�� Cvlt(L,�-..e,�.......,...�.�„n.-.... COtJTAGI FORPERfv11I'-�.•••..---�_'_ '-�-� _P-`�s-_� <br /> TENANT 6USINESS tdA61E � / �(�.�5-� 'J��j.2 _.3���'7 <br /> i.eN 5q� �n <br /> PhNone,E�ma�l ....���.1`��J�i3�GlCC•.....�.1%�....,.--.--,_,.-.- <br /> kiUII.DIh1Ci NC'NIVI9Y AI'i'Q.3Cl��9C11�1 � COVTRAC"i PRICE OF WORK <br /> _ ���. `' ._..�.� ..- <br /> G.isting Use of�u�ldmg , !W ^^' s � a� �� Y H61T SOURCE: <br /> Proposed Use of Buiiding Gas_ fliectr�c � Omer_ _ <br /> Building typc: _Sirgie Fam�ty _�uplex Townhouse _hlulti-Family _Commemial <br /> Type ot projecC Nevi _ Addition Remodel Repair�l. ;;I�n_Sprinkler Demnlit�on_ Cnange of Use <br /> DESCRIPTION OF WORK(ade,Gonrl scace pro:<red on f�e DackJ. <br /> .l-+�5�� 5rn�fvLt% 7�tix= l��"��SS ���4-i (�I.C'�.'� S`f5i�- <br /> �._—�V��e=�a;:�cai6'ERPl�a�' .'d:'�'l�IC;:�e�:� _ J js�o:�:�i�w�r.��P[RP.R�3' 4lv�v�.l���•����_.a.— <br /> � :...�..�.�_ _.�-�...e-...._..�._..V.._R..��...._W_-.,�.._�.. ---- - <br /> TypeofProjecl: __�le�:�i_Addn _Alleratian_Repair iypeo(PwjecC _Ne•,v_Addn _Alteration_Repair <br /> Sha�.v fJumber(U)al lirfures Show Number(n�of lixtures <br /> A!C-air handlin9 imds 7odet <br /> � Forced air system5 � Bafhtub <br /> j Gas piping _ � Lav�tory(wash 6asin) <br /> � Waler healer � Shower _ <br /> � Gas fireplace I<ilchen sink R disposal _ <br /> Gas ran9e Dish�.vashei <br /> � Clothesdryer Clotheswasher ___ <br /> Range hood � Water healer <br /> � L-xhaust fan Sink(service/badmop/etc) _ <br /> �—� tleatpump 6ackfiowpreventer <br /> __J Umlheater � Urinal <br /> � [3oiler � Drinkin9 Fountain _ <br /> � Re(�igeralian Floor drain _ <br /> Woodstove � Grease Irap <br /> — � Ducling Raof drains <br /> � Other iViedical Gas � <br /> y�.��+RItdF(LFFt I SL➢Y�FR3���19617 SVaY'I��fl� Other: <br /> - -�...�.�Num6er oi H�ads_�.�.4 Other: <br /> i hc:..c;�ce�i�ty�hnl I h a�:c mad nnd c�a�T ned ihls appi ca�ion and kr.��.v the sama lo Oo Vuo ana mneu.AP p�ovis'or.s ol laws and orC'aan<es 5ovem:ng 10!s type ol vrork wi:l Le cacqJ c J <br /> .,:;i�,:I-,^r�er;pea'irf Fere n cr nci.TC^y�.m,n•.�d;�perm I Jees nct p;esume l0 9��':e a�lhonly ta vioUte er Wncel Ing prov�Yen o!any olh^f sla:e or!e[al la�n feguiaf.rp cc�slmil'�nn <br /> e <br /> lh.-�Il.�rnouihorca�DpL�uevoerol�hispiop" ,op "om�rte'so:k(on�A�,��cliopfll:u�onl:madeanAlco�TFl/'::�tiiiheSb;vGcr;�aCo�sLa:itP_27f.ClVond"<9G7CUAl':AC <br /> � s���—l_/_-�5 <br /> �p;:neilAutl ori�eA Ar�ent Si��naiurc L'a:n I/"n�eJ i,:'J t?I <br />