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6022 CADY RD 2018-04-19
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6022 CADY RD 2018-04-19
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Last modified
4/19/2018 3:40:29 PM
Creation date
4/19/2018 3:40:28 PM
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Address Document
Street Name
CADY RD
Street Number
6022
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��, pa/25/2017 TUE_10: 33 FAx Fast water xeater . _,_________1�405/008___ <br /> ..�....._...___--- —,---- —�r--............. <br /> ' � � ,:�- � a, <br /> p�fZM�T APPLICATI�N <br /> BUII�nIMGt/M�CHANfCAl�!P�.UNlBINt�1 SECN/SPRINKL�R/ D�MOLITION <br /> CITY OF�V�RETT P�RMtT SERVICES <br /> • 3200 CEDAR STREGT,EVERETT,WA 98207 <br /> (Pj q2a-257-a9qo � f'AK 425 257-8857 �([)ov�reltaps(8�avereilw�.gov� wrwv.evereflwa.dovlpermft8 • <br /> Blue oC�tack 1nk[Ini Pl��se pROJ�CT SITE iNt�ORMATION <br /> PRUJEC'T SITE ADQRH83: PFtOP�R7Y r�AX#� ' � <br /> LEGAL for new ccnetruatfcn, 8hort PlaUeubdlvlslorL_ Lot Na (attaoh copy of lonp tegal da9criplion) <br /> CONT�1#C�'fNFORMATIOrt <br /> OWN�R NAIUi�: TENAIVT NAM�(lP Commerclaf): - <br /> r <br /> �WNER MAlL1MO ADDRESS: 5TREHT <br /> CrtY srnTE z�r <br /> oWN�I�PFfoNE: � OWN�R EMA1L; <br /> CON7FtAGTaR NAMe: �� � '� <br /> CONTRACTOR ApDRES3: S7REE1' �"� s <br /> C17Y D t � BiAT� 2tP � <br /> CONTRqCTOR PHON�: y� CONTRACTOR EMAIL: '��,II� IT S '�I,� '��. <br /> CONTRAC70E2 LIC�NS��f(REQUIRED): 5� r'� pjC,,, 017Y OF EV£RET7'6U61IVE6S LICEN5E iM{REQIJIF�D): <br /> PRIMARY CON1'ACT: 0 OWNER CONTRACTOR C7 07H�fi(PIe�9e SpaclPy) __ <br /> CONTAC'C NAME: COWTA�CT PHONE: C-.I� <br /> K�"�'� ���� CONTAGT EiNAI�: ��I� � .�/', ('j(�/� <br /> BUILDINC P�i�MIT APPLICATIOhI <br /> � Exlstln use aF Bul[din : � ConCract Prfce oP Work: �' <br /> pro oaed Vae af 19uIIdIn : Haat Source: as DEfectric ❑Oth6Y �- <br /> Sulld(n T e: OSFR-DAtached OSFR-AHached !ex C]Mult�Famfl �pf Unfts: ❑Commerotel Olndaetd�! <br /> a of Fro'ecE: ONew DAddition QRerttvd9l Re alr b7.1. C151 n OS �Inkler ❑Demalltlon OChan e of Use <br /> dESCRIPi'ION OF WORK: <br /> �v�n ov� � re,�1�.�� C��--S w a-�� ��a.�-�- ' <br /> A830CIATED BUILDINa P�RM17'� If a Ilcflble: � <br /> M�Ck1ANICpL P�RMIT APPLIC4T[ON PL17MB�N(#P�RM17'APP�MC11710N ' <br /> 7ypa of Projacl: �New_ Addn _Altaratfan _Repsfr lypa o!Pro�act: �law _Addn �,,�1ltvraflon Reperr � <br /> '�°r L/a!oP Flxturas �°f tlat af Flxeuras #of �,��e of ur+ps �°f l.rst of Flxturee � <br /> Flxtures Flxturee �(xtaras res I <br /> A/C—Alr Hendiln Unite Heat!'um Tollet Backflow Preventer elde Bld <br /> � Forced Alr S stema Unl!Weat�r Bakhtu rinal <br /> Gae PI In Bolier Lava W�ah B�sln kfn Fo sln <br /> Watsr Heater 12�fri eratlon Sh er Flq , <br /> Gas F1re lace Wood SEove KI hen Slnk&Dis os�i � ra � <br /> oae Ren � Duct�n D hwasher ooF Dre � <br /> Clothea� r Hoaku e Other. oth68 WAsher. Medlcel O <br /> Ran e Fiood $1er H�ater Other: I <br /> �xNausf Fan Ink servlce�sar! eta Other: � <br /> ; <br /> Sp�RlN �SSIO -IVI � <br /> emloal or W ,af H�sds � <br /> A CKNOIN��AG�MFnlT.•J Asve i»vlew�v thrm app��aa�lorr and eondmr�ha h�fomieflon conla/ned he.e/r�!s irue end carrecL Wak dare purtsuent to rhls pennit musf compN w�tl� � <br /> curronl Istlsral,slate,end lace!raw.The granNrrg of e permit or,ly eutttoriz�s epproverl work end no c�evtarlons fhorefrvm.pev�llons muat yrat be eu�ryovlaad In wrAlnq from H�e ' <br /> BulM/ng omc/al Letore bsfig aulhcriYed unrfe�any clrcumslancB.1 em d�e vw+�er orl em authorfzed by fhe o►v�AY Of fHlB plop9rty!o petPoM7lhe wolh firWf1/d�app,hh�flon�s nled6, <br /> end l complywlfh the SlBfA Conhgofo�LAW 18.27RCW a�ntl26S.200A WAC. � <br /> Gqr of kverelt OH/c�alVse Only � <br /> ( /�� �� � I� PERMIT# I� V � � <br /> ��� � <br /> Own uthar ze Ag 9ignalure pal+a (Revlsad B/23/'10f 8) � <br /> I <br />
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