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Oz/z0/2p19 TUE 11: 13 FAx Fast water Heater �005/005 <br /> P�ERMIT APPLIC,4TlON �� �� <br /> L3UILDING /Nl�CHAI�rCAI.! P�.UM,BING / SIGN/ SPRINGCL�R/ d�MOI.ITION <br /> CITY OF EV�R�TT PCRMIT SERVICES <br /> 3200 CEDAf�STREET,EVERETT,WA 83201 <br /> (P)k25-257-881Q � rFv;h25-257-8857 �(E)evata�teps@everettwa_gov� www.everettwa.govlp�rmft9 <br /> �►ue or�1e�clk l�n� Onl�r Piease pRO.D�G4 3[7L� 9N�06tMm,4149W <br /> . PROJECT S1T�ACIURFSS: �' I � PROPERTY TAX#: �/(i(JO �' <br /> L�GAL.Por new construation: Snort Piadsubtllvlslon 1-ot Ido. (ettsc�copy of long I+�g�l deaoriptlon) <br /> CO�1TI�CT 1NFOd�NFATI��V <br /> OWNER NAME: V � 7FNANT NANl�{lf Commerafal); <br /> OWN�R MAILINQ AD�RE9S: srReer � <br /> G(iY 9TA'R 7JP <br /> OWNER PHON�: OWNER EMAIL: '�'" <br /> coNTr�cro�Nann�: � S`r � T <br /> C�NTRACTOR ADUREss: arREEr I S <br /> crrv �Q � eTn�s ziw 1 <br /> GON7IZIAC70R PFiONE: �a S p CQNTRACTOR EMAIL: �UI� IT S ��I� �, <br /> CONTRACTOR L]CEN6E#(REQUIREb);� s � � CITY PF EVER�TT BUSINE98 LICENSE#�R�qWRED} ��3 <br /> .. . . . . . . ... . <br /> pRIMARY GONTAC7: [�QINNER (�CON7RACTOi� �OTHER(Pl�aeo Specffy) <br /> CONTACT NAME� CONTACT PHONE: �.-�� <br /> �f'r� ``��V� CONTACT EMAIL: -P/1�VVl�I�S c�{"I/J -yv� • �/U� <br /> BUBL�DI�i� P�RlV�1T APP�ICAT'�bN <br /> `� Existin Use of Bullciin ; " Contr�cC prlca of Work;$ � <br /> `� �hro osed Use oF� IIdIn : Hoat 5ource: OGa� -lectric �Other <br /> Bui(dfn T e� 5FR-�efached �SFR-Attachod C70u leX �Mulfl-Famll -#of lfnits� ❑Commercl�l 0lnd��stflAl <br /> e of Pro ect �Naw DAddltion �Remode! Ra alr �7.L C�Si n C�5 rinKier I�Demolltlo� ❑Ghange of Use <br /> D�SCFZ�PTION OF WORK: <br /> �� ��� � �e,���c� ����-rr�'� ��-�-�� � � a�-� <br /> aSSOGfA7�'D pUILpING P�RMI7 tF IP a Ilcable: <br /> tV1ECHANICAI.PLRMI'!'APPLIGATION p�.UIIVI�M�a�. p�1tIV�d7 ApP�.ICATION <br /> Typ�of ProJocf: _New Addn �ltaretlon _Repel� 7ypa o(ProJect: N�w ,__}lddn _Alteratlon �Rapair <br /> F!x�av ��sf oPFlxtures F�u,eS Lfst ofPlxturas F!x u es Lfs�of�lxturea ����°r s Llst oPF/xturos <br /> A/C W AIr Handlln Units W I Purn 'Tollet BaC ow Prevenfar inelde Bld <br /> Fofced Air 5 tems n3f Haster Bathtub Urinal <br /> ` G n Boller Lavato Wash Basln Drinkin Fountaln <br /> ater Fleater �tefrf eratlon 5hower Fiaor Drein <br /> �es Flre lace Wood Stova Kltchen Sink&Dls osal Greage Tra <br /> Gae Ran e Du�in nlehwaeher Roof Drep,e <br /> C(othes D �r�-! g Othsrr Clothes Wssher . Medlcel Gas <br /> Ran e HOo Wafei Heater Othor: <br /> �t1 SinEc SeNicelSar/Mo /etc. Otl10t: <br /> SARI N �5910 1V� <br /> 6mloal or W .af Heada <br /> ACravowL�DOENI�NT`/havo revlawetl fh�s epp�lcatton enU conllrm the/nPormellon conta/ned her�In l6 true anU correct.work dona pursuent to+hls parmlt must comply wllh <br /> cumant letlerel,steta,end lacellew The grenfing o1 a permlf on(y eutnorizes spprvvstl wah end no devletlons(herefiotn.Devlativ�s must Dra!pe eufhorkedln wr77/nq from tno <br /> eulltling Offloinl De2+i�ba/�g eulhorizad ui�derany olrcumsfanca-!am the ownar,or!em suthorRed by INe ownarol fhls p��operlylo perlorm fhe wodc la•whlch appUcetlon/s msde, <br /> e.,d���„�y wrrn rna srace cohrreotom zaw�a2�Rcw 8nd aea.zooa wAc. <br /> C/ty orEvgre(1 OIIICIE!L�se On/y <br /> /�,n 1 g P�RMIT# <br /> l � � ' �� <br /> . �t_v� ,�, , L;��, <br /> own r uthorzs Ag AkSlqnaturo Qaka (Izevlse s/z3i2o9 ) <br /> . ' � <br /> , � <br /> .�,��a,m.�,�m,�.,�,�,.�.o..�,..e. ���..�� - -- -- — .� ., <br />