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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org�( <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM g�- 7�" �"� <br />ADORE:.S: PROPERT' TAX p PERMIT N <br />l Wetmore Ave 00996812802000 y�r�{n��0? <br />br new construqion: Short PlaUsubdivision Lot Na_ (ettacA copy ol long lee�al descnplion) <br />Kelly Mardesich <br />711 Wetmore Ave <br />925-923-4940 <br />Everett, WA 98201 <br />_Owner _O.melsAgent xConhactor _ConlradolsAgent _Tenantl�.,no�woa�eno�rmnum�mmo�e�meo�.odm��.pam� <br />I�ndgar Corporation IL81Lic,# 336, 660-00 <br />PO Boox 27Q08 Salashan Pkwy A102 <br />360-366-9900 <br />Dale Van Rooyen 360-366-9900 <br />PhonelE•mail dalevr@andgar.com <br />BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWORK 3900.00 <br />Bcisting Use of Buitding HEAT SOURCE: <br />Proposed Use of Buitding Gas X Eiectnc Oihe <br />Building type: _ Single Family __ Dupicx _ Townhouse _ Multi-Family _ Commercial <br />fype of project: New Addition Reinodel _ Repair ___ T.I. Sign _ Sprinkler _Demolition Change of <br />DESCRIPTION OF WORK (edd�tional space provided on fhe eack) : <br />Add natural gas piping lnside the house Co a new boi].er. <br />Change out the oil boiler for a new natural gas boil.er. <br />MECNANICAL PERMIT APPLICATION <br />of Project: �New_Addn _Alte�atlon _Repair <br />Number o( licads <br />��:.'] <br />PLUMBING PERMIT APPLICATION <br />af ProJecl� _New_Addn _Altnration_Repair <br />Show Number fp10/ �N�ros <br />Medical <br />Other: <br />Olher: <br />I hcrcAy ccrlily Iha11 hava �raA nnd emmined Uii;, pplp�Lon anJ know Nc:�mc lo bc Wc anE cortc�' VI pmvtlon, olLiws and orainances 9ovem�np Ihis typo o1waA wiil bc mmplcA <br />w11� wiiet�^r specficd hemin ar nol. Tlia granung ol q pertnA dues not presume to pHp aulhoriry lo vioqte or ancel Ihe pmvixlon ol nny oNer st.�le or loc.�l law requSitln4 �� ��M1�Cion <br />7hai I am noUorteE by Iho owne�o111iis praperty b peAom Iha wo�k lor whkh, ppli��tion I5 mnAe nnA I complywi0i Ihe State Coctractoe.lnw 1B 77 RCW nnJ 2n! 700A WAC. <br />����v _ ��z� i <br />OwnerlAulhorizedAgenlSignalure � pi�� <br />