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`� � 3200 CEDAR STt�E�i',EVERETT,WA:Jts:�u� <br /> '�J�1' <br /> - � � �p)e.25-257-8 FAX 425-257-88.57 �(E)everetteps@everefiwa ^v� v+�:+rw.everettwa.gov/permifs <br /> •-__........ .: .. ... ... > .._ .., ... .— _.;. . : ... �G�1['_��'�� Jn,�IG��G���l(�.��i 1I�� ' � - <br /> au�:r�r`r..C����l�'dun4�.��s�Q��1(����� 1�G�� _ _ . _ . :- : . � ..: . <br /> (��;_.... . ..._ . � . . � <br /> _ .. �f < f 2��5 v�� 5�, PROP�i�TY TA?C�: <br /> {�P�OJEC`t'S1TE ADDRESS: <br /> Lot No. (affach copy of fong legal description) <br /> L�GAL,ornevrconstruction: ShorfPfaJsubdivis[on — -- ... . . , <br /> ,.. _ .. ,..... .:. ... ..-.., .--,... .... _... -- <br /> . .. ,•- •=�••' • •. � •� •• .-' ,. ....: : .. .. . . .. ..... ..�. .�.��1?d�Y�.��llC,�!'_l��L�d�t7,�lf��l�l : <br /> ....:.. . -. . . ::. -. <br /> .::.•-: � l—_�--.—�i�L.-- . /� TEtVAiVT iV�IiVIE(li Commercial): <br /> OWNCR 11AiV1C: � <br /> rOJ�� " r�'�� L.�,2. ,.5�' ' <br /> OWIV�R 1�tAlLING AQDE2E5S: sTRecr )� � Z1P C�Fi�3 <br /> �- STAT�tr"��1 � G <br /> �,�r ��1�' <br /> � � q OV�INER EIVIAIL: <br /> OWI�IER PHO\lE: �1Z5 Z C/ "' .tJ� ! . - -- <br /> COiVTRAC'i-'OC-�PlAlllf�: L'�,?(,..=t �l �,.�' '��� —� ��� <br /> CONTRACTOR ADDf�ESs: sn.Eer 2.�.ZC� •!kc.s`�L�- <br /> STATE Lf';Q ZIP ��' � � <br /> C1TY ��'V�r - <br /> ,.Z��� `���� COIVTRACTOR EIInAIL: t°��/��._G��aS 4�t,✓G�= ���S <br /> COIVTRACTOR PHONE: ��ZS }: ���� <br /> ( ) �v�2`'�s`�f.1.__7€,�'�- ICITY OF�VCRETT BUSINESS LICEIVSE:€(R�RUIRED <br /> CONTI�ACTOR 1-[C�����REQUIRED _ <br /> PR[P�IAR.Y CONTACT: 'Q OWNER �CONTRACTOR ❑ OTHER(Piease Specii�j) <br /> CONTACT PHON�: (.�Z� ,j�� ,-(',�7 7�� <br /> CONTACT NAME: � � <br /> �''' CONTACT EMAfL: '��p�S,j%y,�LF.1�'�.LfL�.�'� <br /> �,��lJ c�i..� . - . . . • . . ' • <br /> . _s.. _. ..... ........ . . . . . . - <br /> . .. . <br /> . . , .. - . . <br /> .. . .... ... ..-- <br /> . ;. .. �: • •- <br /> .._ •.•' . <br /> . . . .... . ., .��� . �. : :.�UItD_IWC.PERMI`�';,A���:I�.�'°�'19,Pub' �ryl} <br /> •,' =L,s-e:• - • � (if� <br /> Contract Prica of Work:a� <br /> Existing Use of Building: <br /> HeaiSource: �as ❑�Iecfric ❑Other <br /> Proposed Use or Building: ❑Commercial ❑Indusfrial <br /> g��J��ng�yp�: �SFR-Detached ❑SFR-Aftached ❑Duplex ❑Mulii-Family-��of Unifs: <br /> 7'ype of Projecf: ❑New I�Addition DRemodel epair ❑T.�• _ L�1-S�9n �Sprinkler ❑Demolition ❑Change ofi Use <br /> �L� �U I��-�.,% �(�tt,.)�� L'l'C'"�' <br /> DESCFiIPTlOI1 OF WORK: .1.�'��p �� ' �� � <br /> �--_-- _ ��--. <br /> 4SSOCIATCD BU1LD[NG PERII�[T�(ii applica�_J —�� , . . � '� <br /> � � r-��n�tvd�u�� �r���pu.�����:u���d���,� _.��_ — <br /> •:�, ,�:..��t��C=���.9���:�_�f.:�, 'T�iR'TI'A���I����6�_�� �`' ' -- — <br /> Addn Alferafiion _,Repair Typa o�Pro�ecf: _New Addn Alferafio�i .�ReP���� <br /> Cype of ProjecL: _..1�eW — �oT �#or Lis�orFf�ures <br /> �o; �°f List oi Fixtures �ist o�rixiures F�Yfures <br /> List of.Fixiures Fixtures �ixfures <br /> Fixtures ��Toilei Bac[<flow Preven�er(inside Bldg <br /> A/C-Air Handling Unifs Heaf Pump Urinai <br /> Unii Heaier Ba�hiuU <br /> Forced Air Sysiems I avaiory(Wash Basin) Drinking Fo«n�ain <br /> Gas Piping Boiler Floor Drain ' <br /> Reirigeration Sho:aer <br /> Wa`er Heater Kitchen Sinlc&Disposa! Grecse Trap <br /> Gas Firepface Wood Stove . (Rooi Drains <br /> Duciing Disf�vt�asher <br /> Gas Range C[othes Washer (��ledical Gas <br /> Cloihes Dryer Hookups Oi11e1= � Oiher. <br /> Waier Heaier <br /> -�---�--iRange Hood — Sink(Se;rvice/Bar/Moplefc.) O�her. — <br /> Exi�aus�Fan_______ <br /> ��:� ���➢�4}�1���1�._��P��-�����d.�����.�1�... . " �-__---_ --- <br /> - — — Number of I i�ads = --_- --_----- --'— <br /> �-__ <br />