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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGfSIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Sl., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.ever� a.�� `I � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />10117 Nontana Rd, Everett, WA 96204 <br />lor new mnslrucUon Short PlaVsubAivlsion <br />t Gunnar Petzold <br />10117 Montana Rd <br />No <br />)1200 � N��l.{� <br />_ (attach wpy oflonglegatdescnD�ion) <br />425-355-1965 <br />Evzrett, WA 98?.04 <br />M: <br />x pwne� _�ner'sAgent x Coninctor _Conl�actofsAgent _Tenantl����w�+�a.,mv��ai��s.mr:omuMo...+«�oaowon�o�+.,<e� <br />Innovativc Electric, Inc <br />p. O. Box �399, F.verett, WA 98204 <br />NG PERMIT APPLICATION <br />Useofduilding Residence <br />I Lic. il INNOVGIOlANP <br />��� p 036828 <br />IPhone/Emaii 425-290-7803 <br />�RPERMIT Gunnar Petzold <br />206-571-39A7-cell <br />PRICE OF WORK �%OO• �O <br />HEATSOURCE: F.lectric <br />�,.... ,. X rotio. <br />Proposed Use of E3uiiamg --�— — <br />Bwltlmgrype�. � SingleFamily _Duplex_Townhouse MWti•Famlly _Commercial <br />7 e of project New Addition X Remodel Repair T I Sign Sprinkler Demolilion_Change of Use <br />DESCRIPTION OF WORK (add�tiona� space pmv�ded on the nack) : <br />install 1" underground gas line, convert to above ground for 3 9BQ appliances <br />ofProject: XNew_Addn_Alleretion_Repair <br />Show Number (M) o!lxtures <br />of Heads <br />PERMIT APPLICATION <br />olPraject: _New_AAdn _Alterotion_Repair <br />ShawNumberlNl olfixtums <br />Kilc�en <br />Olher: <br />Olher <br />healer <br />IOcmOyccnity1ha11havereaCanOe�amneEVusapDl¢amnanOMowlnesameloEc�mcanawrtea A1lpmvrsmnsollawsanaordlnancesgavem�nglnisrypcolwa�kwllbemmpt.ed <br />win wnelner �cufictl nercin or nol lne gnntir,g ol a pertndaxs not v��sume to 9ive dulnoMy lo viotate or Unul ine D���swn olany otlicr sLill` or lowl law tc9ulaUng wnsimaan <br />TTaI l am amnonred �y ihe ownerol tnis mDciry lo pedortn Ne v.rod lor w�iU aD7u�aoon is maCe anE I compy wiln ��c State Conlncmrs Law 1827 RCW anA 29G 20�A WAC <br />0 erlAuthorized Agent Signalure // D� (Revised N1012) <br />