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�2/25/2d1� sAT 12: 5� FAX FA�t W�tOY H��tpY �QQ2/d�Q <br /> . . ���I�,IVil�l' ApP L1��'�1�� � � I� � ... <br /> BUILDIlVG/M�CHA�II+�A,C./PLUM�31N��(�iIGN/SPRlN�L�R/D�NtOLITIQN <br /> CITY QF �V�R�7T P�RMI'�5�RVICES <br /> 320a �edar St., Ever�tt, WA 982p1 �25��57-�Q10 �,NC 42��267_6857 www.evereftwa.org <br /> SI7'�,A(} F.,� : —n 1 �T �� PROP PERMIT�R <br /> � �-�-� <br /> � 2-fJ <br /> L�GAL For new cohstrucElon: 3hort�latlsubdlvlalan Lat fVo.___r,_ {�ttach copy of long lepel descrlptlon) <br /> OWNER ,� PhonelE-mall � <br /> Address � � Cfty/9tate/zlp Q� �- �j�� <br /> APPLICaN'�';,�owner ,,,`OW17er'S Ag611t Cotlkrsc6or �Contl'aolor's qgent �T9ne�lt(muai provlde e le{tor a Wnaent hnm Ihe oWnfr�do work In lhe epaee) <br /> coNrt7AC-ro� �� �,� 5tate Lic.# w�J�-� <br /> � �,Cft Bus.�ic. <br /> Addreae � , � � ��-� �"' � U f ( <br /> {r1J' - phonel�m�il ,pl��-"�j yy��-�—� �,� � <br /> Er1AN SlI11ESS M� CONTACT�pR PERMI'i' <br /> vn �. <br /> �'`�r ' l r�� <br /> Phone/��mall , L �� � <br /> BUILDIN(� PEl�plllT 4PPLIC�ATION CaNTFlACT PRIC�OF WORK a'" <br /> �xisUng Use of Sulldny NEAT <br /> Praposed Uae ii <br /> Gqs Electrle Olher <br /> Building typ �Single F� ' �I�uplex,�7own Multl-Famii <br /> ,Y ``w Commarcia! <br /> T �of ro ect: New �ldd�tian �emad Ra alr T.I. Si n S rtnlcfer Demolftfon • Chan e of Use <br /> DESCR�IPTION OF V{IOF��C(sddlNorral apap�p�vtded otr ths hectc)._ <br /> ����� �� C.�.. �-�G�`� � <br /> � ,� , �.�C� �d��- <br /> MEC�1 L p��tM17'APP�,I�AY��Iy �I�UM�IN[�9 PERNIIT AcPPL,�C,AT10N <br /> Typa of ProJe : �New dn _Alter�elon_Rapair f <br /> ShaW Numhar PNxturga YPe oi proJecc: ^,N�w___qddn Afteratlon"„Rap�lr <br /> ShoWMum6�r of�YxHr�g <br /> A/C�al andtin �nits Toll�t <br /> Forced e! tems Bathiuh <br /> oas f In Lavato wash basin <br /> Wat�r heate $hower <br /> Gas flre lace Kitchen sink 8� is osal <br /> Qas ran e pl�hwasher <br /> Clothes d er Clothss washer <br /> Ren e hoo Weter heater <br /> Exhau an Slnk 9�rvice/bsr/mo /etc. <br /> _.. .He Um .., . , :._::�, <br /> nIt heater r � Backflow revsnter lnelde bld <br /> BoIIQr Urinal � <br /> Reftl eratlon Drinkln Fou��a�n <br /> Woodatove Floor draln <br /> Ductln Grease�trq <br /> Other Ftoof dralt�s <br /> SPRIN E1t Medlcal Gas <br /> PRESSION SX� EM othar: <br /> Number of <br /> Other: <br /> �heteby perl{ty lya;�heve d end Mxemine p ICallon end know fhe eame to he t�ue end � ` ` � ' <br /> Wlth whethqr specl8ed herefn or not. ha rq„t►� op e Wt+'�at.All provlslone of Iqwa and orcJfllancea g0�ef11111g ihle typo pf VyC�k wAI he C011�p <br /> �'+taE I m autRorize hy th0 oVrna�ot lhl pioP��Y�o pbKo ml lhe work Po Nhtch a 9lcaliah�la m��0 vfolsto ar o�����g provl�lon of eny olher Btale vr�ocel lew ragu�elling cone�p��pn <br /> Pp �qA a,nd I comnly wlih the SIa6s Cnhl�astore Law 98,27 RCW anq 298.ZOOA WA�. <br /> � �--- ��. <br /> awner/ , orfz�d Ag�nt SIgn�Cur �e� <br /> (ReVlsod 4�209�J <br />