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PERMIT APPLICATION <br /> BUILDING i MECHANICAL!PLUMBING 1 SIGN/SPRINKLER t DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 DAR STREET,EVERETT,WA 88201 <br /> (P)425-257-89101 FAX e2S-257�t85T 1(E)everettepst@everatt a Dov I�.ever nl govipennits <br /> /!w Or BMWT Pak Qvft Ps"" ,PitOJlCT BITS INPORMA710N - <br /> PROJECT SITE ADDRESS: St5 SF FventtMap Way.Everett WA a82Dq PROPERTY TAX 1: <br /> LEGALIor--t'W'm.Stan PaVeuedwn�on LrN eau._ (maC woy0fkxy"Idew0—) <br /> CONTACT rNpon MTION <br /> DINER NAME:Chgwoe MexK 9 GM TENANT NAME(if Commercial): Ch,potle Mexican Gnk <br /> OWNER MAILING ADDRESS: srott, rwwm®vsl.a:a.sx <br /> ieTE Ze N]aa <br /> OWNER PHONE: 760-GW2813 OWNER EMAIL <br /> ONTRACTOR NAME: U m pro <br /> CONTRACTOR ADDRESS: cntn, <br /> CONTRACTOR PHONE: SII,t7-j Z S- ''Z 3 CCNTRACTOR EMAIL: <br /> CONTRACTOR LICENSE a(REGUIREDI: 'q L CITY OF EVERETT BUSINESS LICENSE ryREfNAttEDI: <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify)_ <br /> CONTACT NAME: 1 CON74CT PHONE: (Q[y- -2 5. <br /> 11'L14 1��a 1,L� CONTACT EMAIL: <br /> Ur/' rnra <br /> BUILDING PR11t APPLJCATION <br /> Ewsb Use of B.4di Contact Pd-of Work:f <br /> Proposed Use of Build Meal Source OG, ❑Electric ❑Other <br /> BWOMgType: ❑SFR-DataUeo CSFR-Aaachrrd ❑ ❑Muk.Fsm1ly40f Unns ❑Commemut ❑IMustnal <br /> Type of Pr ❑New OAdit.l. ORenwdel ORopoij ❑T.I. ORE ❑S rir"' ODen-010,01 Ochs or Use <br /> DESCRIPTION OF WORK: <br /> ASSOCUTED BUILDING PERMIT/a a bla). vJ I. r -InJ <br /> MR "MiCAL PERMIT APPL"TIGN PLUMBING PI uilln A"y"TION_ <br /> Type ofProJact:_Bey Add._AlterNon_R"I, Type of Pro)est: Naw _Adds �Alteralian ,_Repair <br /> ear s say --- —. _ <br /> R.Ito Yaf o7Fsrtone Fxlurea Llstaf F(t.— Frxarroa Lleror Ffxtans Ft yar®a WtorFlitoree <br /> IVC—Air H-dIrg Unns Haat He Taloa ffmckrkw Preveplel Insldu <br /> Farcod Air Systems Unil Neater Bathtub Urinal <br /> Gas Boiler Lavelo (Wean sin) 0dnk' FRrm4in <br /> Relri ration Shower Floor Drain <br /> Gas F..lace Wood Stove Kitchen Siltk&D' I Grease T2 <br /> an Duclin D�afarasner <br /> Root Dnlm <br /> 10"MID 'Hookup. <br /> Other Clothes Wagner ;Z",Gas <br /> Ra Hood i Water Neater O:hen ' <br /> EXnwst Fan Sink S— /M etc OIFI¢r: <br /> BPItlNRLER I BUPPRBBiRNl iTM7lM <br /> umeer o e <br /> ACKNOWLEDGEMENT I sM nMwed the ayptieendn erb tvMrm me;nha,,,.so-+muolrnd Irrwn q.Ws srM nrran was o—Pytuenr ro me pem r rnu r campy uYr, <br /> � .lesan rote!pw TM prensnp ar a[arrlit aYy aufhsevee n Dmved wvF srdno deriesav rlwNron Der+elaln mull nrar f»eWhanxn ur wpry Imm da <br /> aevy e~,00 Imdur enY nruvnfreae'e I em pie owrrot.or r am umwrneo oy Rv nwnar d ws popery w Pedarrn Tie spa b.NVM egecsox u made <br /> aMIconpty wen ap Snf�Can sa taw n 27 RCWend Us Mt WAC <br /> Cayd Evens Olnnel U.0* <br /> PERMIT <br /> /bW- 01 ca w �uv �JAkl <br /> Iyxnon:sd Apem srpnatun �—� !/revrsad s4 10t s) <br />