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07/19�2017 WED $: 22 FAX FaBt WdtOY HOntpY �Od2�005 <br /> r�uwr.r.�`..+muairr.rww.w.vx�.�r.`..v+.r.....�....w+. . .�.�.._.r '_-_ --��._.��_..��-.r.�..-.��...�..�� <br /> ���� � <br /> � p�RlVll�'APF"�.ICA1'10�f <br /> BU1�.pIN� /MECHANIC,,4L/PLUMBING!SIGN 1 SPRINKL.�R/DCMOLITfON <br /> CITY aF EV�RETT P�RMl7 S�RVIC�5 <br /> • 3200 G�QAR STRF.�"f,�VGR�T7,WA 982U1 <br /> (Pj 425-257-t1610 ( FAX 425-257-8867 �(E)everetteps�everetlwagov� www.evor�tiwe.gov/permils • <br /> Blu�or�laak lnl�Onl Pless� PftOJ�CT,SITE INFOIiMAT10N <br /> PROJ�CT 51TE ADDRE8S: ���� C�L � � PI30P�RTY TA7(#: D_I �' Up7� d � <br /> LEGAL far new conatrucfion: sho�t piaveubdlvlelon Lot No. (atFach copy aF Ivr�lagal deBcriplion) <br /> CONTACT IE�I�ORMd\TI�FI <br /> �WNER NAiVI�: t� f TEIVANT NA�Ifi�(If CommerClQl)� "'—�'"'�— <br /> OWNeR MAiLINO ADDRESS: s�ra�er (� <br /> crrr srAT�/�/ z�r <br /> OWN�R PFIONE: d OUVN�Ft�MAiI.: ��� <br /> CONTRACTOR{VAM�; � ST C� 1 <br /> GON'3'l�ACTOR ADDR�SS: a�rReer � � � <br />. � CRv . � � BTATH tlp 1 . <br /> CON7ftlICTOR PHQNE: �a� � coNr�cTot�sM��.; �Vh ►TS �-UJ �P�i". <br /> CONTRI�CTOR WCEN3�#REqUIRED); 'rw � � CI7Y OF @VER�TT BUSINE33 UCEN9E#(REqUIRED)• ��3 <br /> . . .. . . . . . . . . . . . <br /> PRIMARY CONTACT: CI OWN�R COt�17RACTOR 0 OTMER(Please Spe�Ify) __ _ <br /> CONTACT NAME; � CONTACT PHONE: �� <br /> !��"T� ���i v� CONTACT EMAft: �;�� .�, ('j(r/� <br /> Bpi�iplNp p�Ril►�IY qPPL�CA'�ION <br /> � �xistin Use of 6uildin : Contract Prlce of Wark::� � <br /> pro ased Use oF sulldln : ' � Ne�t Soutce: as ❑Electrlc C�Other � <br /> Bulidln A: �R-b9tqChed C]S�R-Attached 17Du lex ClMultl-Famil �of Unitss OCcmYn6fClpl ❑Industrlsl <br /> T e ofProect: ❑New I�Addltfon L]Remadel R� elr CiT.l. L791 rt �S rinkler ❑�emollHon OChan e of Use <br /> DP9CRlPTION 0�WU1iK: <br /> �� �V'� d �� \v�,ljl_j l�( .. \ W Vv`�`�0 v l�C/�,�vl <br /> � � V <br /> A,330CfAT�D SUILDfNO PSRMIT# IF e Ilcabte: <br /> M�QWANIICA!p�RM1T APPLlCAT1�N �LVMslN� p�Rl1l��T App�IC/1'1'IOM <br /> lypa oP Prafack: ,_J�tow w, Addn ,.�1lteratlo� ,,,,,_,Rspelr 7y ro a ew ,�4ddn _�lltaratlon �Repalr ' <br /> #o/ #of �F or #aF , <br /> Flxturas use or�rX«r.s F���g Llst o�Pixturas Flxturas �fst of�lxtures �ureg Llst of H�rW/ I <br /> fVC�Alr Handlln Units Fleet Pum 70R�t Backfjaw Prsven In81de Btd I <br /> � Foresd Air 9 tenne Unft Heater Sathtub Urinal ! <br /> oss PI In Boll�r Lavato Waeh Basln Inkln F taln � <br /> Water Hea�er �Fr1 eretlon Shower Flo n , <br /> GHS Flre lace Woad StoVe Kltchen Slnk&Dfs osal O e a � <br /> Gas Ran e Ductln Dlshwasher oof Draln � <br /> C othes D er Floaku a Other: Ctothes Waeher. I�edlcal Gas i <br /> Ran e Hoad ater HeAter Other; ' � <br /> Exhaust Fen Si Servlcel8arlMo J Other: ; <br /> s���a �asw �c i <br /> emlaal ar W .of Heade ! <br /> ACKNOW,C�DOEM�NT:!hsve ravlawed thls applfo�Non and can7nn fha/ntb+me�lon conte�ned irerefn�a trua e��a corruct Work done pwsuant lo Ihls pann/t muat camply wlth <br /> CGl+senf lBdel�,�8ie(e�end Iccal law.TAe gr'ant/np af e permll orrly eutllonXe9 Bppft+VBd w0I/(BRd na devlalMna f6ENeh'a�?.O@vlstfaqa r»�et An9t BO 9ufHOY/Y9tl/I1 WdfNlg flom fha <br /> BUNtling OhYc/a!b�fo'ra beMg aulho�Aeed undarany dreumstance.l em the ownar,or!�m atrthaYzed Dy fhe oovner otlhra properly lo aerfo�m fha urorh forwh/ch eppNea(!on fs►nada, <br /> eMl!compJy wllh fha Staf�Confranlens Law'9�2T ACW antl 20�ZQ0A INAC. <br /> Cl1y o1'EvBrelt OlY/cfaf Use OAty • <br /> � � L l! � � PEFiMIT#vV L ��O �D� / . <br /> Own uthorze Ag r�slgnaiure Dabe (Revlsed9r1320��) <br />