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�9/28/201� THU 9: �� FAX F;bt WatOY Heater f�005/005 <br /> ��� I <br /> PL�21U117'APPLICAT[011t <br /> BUI�.l�11V�/M�CHANICq�/P�,UNf BIN� /5I[3N,l SPRIN4<LER 1 D�MOLITION <br /> CITY OF EV�R�TT PERMIT S�RVECES <br /> 3200 CEDAf�STREE7,CVEFtETT,WA 98201 <br /> (P)�25-257-8810 � FAX 425-257-8657 �(C-)evsrelteps(e'�evereuwa.gov� www.evereFtwa.eov/peYmlta • <br /> B�ue�r gy���c y�,k o�,� �r��s� w�o.e�c4 sN�� eN�o�nnp,�ow <br /> P1�OJECT SlT�ADDRESB: PkOPERTY T'A?(�: � <br /> LEGAL fur new conetrvcflon: 8hart PtaVeubdivlslon Lot i�o. (altacH copy of iang legal tleserlptlon) <br /> can�r�cY tM�v�nna,x�v�v <br /> owNER NAM�: 7�IdANT NAME(1!commercla[; ---'—"— <br /> OWNER MAfUNG ApqCl�$S: 8tfteEr <br /> cmr srn� �r <br /> 01N�1�R PNION�: OWN�R�MAIL; !—'— <br /> �aNTRacroa NAnne: ST � T <br /> CONTRACTOR ADpR�SS: BTREET �'� �,j � <br /> . . � �+N � � BTAT2 ZIP 1 . <br /> cON7l�AC70a pHort�: ��s CONYY2AC70Ft�MAII,: ��.V!'11T S �-u) �e�Y. <br /> CONTRACTOR L]CENS��(REQ�IRED):� '"rw � C17Y Or�V�RETT 9USIN�55 LIC�IJ3��(12EQUIli�l�)' ��3 <br /> pRlN1AI�Y GONT�.CT: (a pWN�� GON7I�ACTOR ❑OTFISR(Please SpeclTj+): <br /> CONTACT NAME: ,�` L CONTACT P[iONE: � <br /> �"r� ��/C�� CON7'ACT�tillAll.: .Q��y�1,�-�-5 �.�, -�.pX, �y�1 <br /> BUlLDI[�iG PERMIT A.PPLMCA'�ION <br /> � �icistin use of Buitdin : ~ ContracE Price aP Work:� � <br /> Pro osed Use vf�ui din : S Weat Source� Gas C7El�ctric �Oiher � <br /> BWldin T e: FR-Qatached OSFR-�Aftached ODu 19�c �7Mu!!!-Famll #of Unitg: (�Corilmerc191 ❑Industdal <br /> e af Pro ecf: �New �Acfdltion ORemadel Re alr CIT.I, �ISi n L�S 1'inkler �106m01ition �iChan e of Uae <br /> D�9CRIPTION OF WORK: <br /> �irn ov� l r2����� C�1--S �a:�-�� 1��r�,fi� <br /> ASSOCIAT�D BUILDING P�RMIT�p fF a Ilce�ble' <br /> MB�HANIGAL PBRM�T/1PPLlCAT10N p1„U1V1�1N� P�RIV�p7 APp�IC/�'i'ION <br /> Type of ProJecE; _NaW_ Addn `AlteraElvr+ _Repalr 7ypa af ProJ�ct: _New �ddn _fllteralfvn �apalr <br /> . �of �lst oP F/xfuree �o� Ltat of�lxtura�s #o€ /,�st of�lxtu #of �/st of�lxr s i <br /> Ftxtunar Flxturea �Jxtur p/xtur�s I <br /> AIC--l�lr Handifn tlnits Hea!Pum ToUek Dackflaw Preve r Inalde B[dg <br /> � Forc�d Alr S stema Unit Heeter Bath�ib Urina! � <br /> ` Gae Pl In BoEfer Lavato Wash Basin Drinkln F fetn , <br /> Water Heater Refd eratfon Shower ►adr p ' <br /> C�s Flre lace Wood 5tove Kltt�en Sink$e Dle oeql G Tra � <br /> C-�a Ran e buctin Dlshwasher R afns <br /> . Clolhea D r Hooku a Other: Clath�s Washer edlcai a i <br /> FZan �Haad ater He�3ter Other: <br /> �haast Fan S Servlce/�aNMo etc. Ofher: <br /> S�1iIN �$�!O IVI . <br /> emlcal or W , of Heads ' <br /> AClWCW��CGEM�NT./Aave r�vlawed thls app!lcarfon end cana,m�ira in2nnalloa cotrtalneal hensln Is frae and carrecL wo�k done pursuenf(o�h1s permltmusr comply wUh <br /> curro»r r�de�state,aod roc�l tew.The¢��Nnp of e petmlf on1Y eulha�lzea eppmvetf wprk qntl no Qavlsflotte Ntoreham,oevlarrons muel A�st ne auraon�ea fi w�iPlna fYom the <br /> Bu!!ding dMfclal belclg bel�q aLfhoiltotl urrdsr eny clrau�»stence�!sm the owner,prJ am euMrorizad 6y the owrrerof fhls praparly fn pedarm fhe wark fer whloh epp,7eslJon►e made, <br /> antl 1 compJy w�lh(ha Stete Qo�frectors Lew�8,2Y RC�N end 29E[200A WAG <br /> CNy of Evereff 0/1lclal Use On/y <br /> /�+ � �V � �� PERN111�'I^ � � _ (� <br /> OWn ulNor ze Ag 9lgnature (/` DaEe (l3eV/8ed�3� 9 � <br /> -• ,— --- �.� 1 <br />