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32Q0 CEDAR STRE�7',�1IERElT�W�9820� �'eversf[wa.govlpermifs
<br /> (P)q.25-257- � FA?C�25 257-8857 ](E)�vere�feps@eveCef�M����—, . • • . .. .
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<br /> . .. . .. . . .. � .. � ' PRaP�FtTY 7'.AX
<br /> PROJ�GT SITE ADpR�S�: ,.-� "' � � Lot Na. (aftach c�opy of Iong legat deseripUon)
<br /> I:.�GAI..for new construction: Sho�Pia�/subdivision _ ,. . • . ,
<br /> _,. ��i�'.��'�dR4s���4N�,t�'��It� . .. .. , � _:
<br /> '..•.. •�: . = ` .,.,> _„�G .s. T��tAtVT NA�i�(I��ommercial}.
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<br /> OW��R��I�.II�G.�DT}'Pi�SS: Sl'REET JL-�"� �! 3TATE � ZIP �`
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<br /> COI�iTRAGTOt�ADDRESS: STRE�r Z�ZC� ;�-C,�` L�--
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<br /> coltiTRACTOR PHai��: (�25 {� UIRED
<br /> . CiT`f OF�VERETT Bt15[NESS LIGEP�S�r�{P��Q }� l� �
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<br /> CONTRAG?OR � ,,,. ...�-_w....,.,.w, w_..w.� ..,.,.,.....� ,.._.-.-,..�_��x,...� a ..,a u�.,�,� .
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<br /> PRIMARY CONTACT�CI�WNER �CONTRACTOR CI OTHER(Pleass Speci;�)
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<br /> GONTACT ItiL4ME: •
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<br /> Gonfract Prtce ofltit`ork:�
<br /> �xlsting Use ot E3uilding:
<br /> Heai Sourc�: as QElec�ric LlOtfier
<br /> Proposed Use oi Building: � I�Commercial ❑Jndusiriaf.
<br /> 6uilding Type: FR D�tached T�SFR Ai�ached QDupfex QMulii�Fam►tY�#°f v���= ,
<br /> Type of Project: ❑New 1�Addiiion LlRemode( IZRepair II i.t. L�I.S9gn ClSprinK(er IIDemo[iiion QChange of Use
<br /> q�SCRIPTIQN O�WC3RK; Y
<br /> C(n�r�� �-� fpr�s ����' �� �vi-�t�l
<br /> ASSO�IATED BUILAII��PERM[T� �a plicab(e}: . .': .
<br /> 1�1�.1'fY��)f�t������Q'�';��k��;��,.�'��d�V� .� ...
<br /> ,.� .����������g`:������s`��������'���' ` e of ProJecf• New Addn Atferafion Repair
<br /> . •� Adcin ___,Aiferatton __._R$pair TYp ' —'
<br /> 1"ype of E'rojeci: :_,�e�._-, .�oT �o� Liss ofFixft�res
<br /> #fi of '�o� l.Pst of�ixfut'es �fsf af Fixtures Fjxfures
<br /> List of.FiSciures Fixfures F'X`r'res Rackffaw Preventer{Inside Bldg}
<br /> Fix�ures �Q�t�,um Toilef
<br /> q(C-Air Handling Uni�s �at���� Urinal
<br /> r Forced Air Syst�ms Unif Hea�er Drinking�oranfain
<br /> 8oiler Lavatory(Wash Basin} �igQ�brain �
<br /> Gas Fiping j�efrigerafion Shat�rer ;.
<br /> Wafer Hea#er Kitchen Sink&Disposal Grease Trap {
<br /> Gas�ireplace WoocE Stove �pshwasher Roafi�7rains
<br /> Gas Range Ductin5 Medical Gas
<br /> t7ther: Ctothes Washer
<br /> Clo�hes Dryer Hani�ups Wafer Heatei. Qfher:
<br /> Range Hood g��k(Service/Bar/Mopletc.} O�l�er.
<br /> �xhaust Fan �
<br /> ''� ` ����1�9}��,�ffi�,/,��U�l��t��sU'�I�:���'��� "
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<br /> .:.7 .:. ... � , �
<br /> - Numberof eads
<br /> aurhoriaes approved work and no detnatians therefrom.L7evietions must flrsf�wo k ar v✓hich appl�aro n 1S rnade,
<br /> ;G KN�w��G�MENT 1 have reviewed this application and c�n�rm fhe informaffon confained herein fs frue and correcf.[No�k done pu r�svan�fo fhis permit must compfy tvi 7
<br /> urrent federal,stafo,and local law.The granfing of a permif on y p P to erf rm
<br /> :uilding Ofn"cfa!beforo being autharized under any etrcumsfanae,!am the owner,or!am aufhorized by the ownerof this ro erfy P
<br /> nd/comply wifh the Sfafe Confraafors Law 18 CW and 296.200A WAC
<br /> _ Cffy of Everett Officia!Use On(y
<br /> PERNIlT# ,, ^ `� ���. f��� �
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<br /> 4
<br /> � Dafe (Revised 5/20/2076J '
<br /> ......,..rn��a�,�rP�Fd Astent SPgna�ure
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