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02/2p/2p18 TUE L1: 13 FAX Fdbt WatOY HCatOr f�004/005 <br /> g0��o�'�1 <br /> P�RM�T APPLIC�lT1Cd{V <br /> BUtLpINC I M�CHANIG,AL J P�,UNiBINC�I StGi�1 SPRIN6C�.ER! D�MQ�,I'�IOf� <br /> GTY OF EV�RETT P�RMI'r��RvrC�S <br /> 3�00 CEDAP STREET,EVERET�,WA 9824'� <br /> (P)425-257-BB90 � FAX 425-2b7-6857 �(C)ever�tteps�everellwa,eov J www.pvgrettwa.go�lpermrt� • <br /> �31ue ar�la�lc Nnk�sel fPlease PII�O.dE9C7'31T��NF��itM,dA'g'fON <br /> �PF�OJ�GT S1TE ADDRES3: S P120p�f�TY 7AJC#: � <br /> LEGAL for new construcKon: Short PlaUaubdEvlslan Lot tdo. (�ttach copy oP long le8al deaorlpUon) <br /> COINT1e1„C'� INIFa�NiATMON <br /> OWN�R NAME: 7�NAN1"NAM�(!i Commercta[: ---- <br /> OWN�R I�IAIl.INC�A017Ft�SS: srR�er <br /> crrr srn� zla <br /> OWN�k PI-loNE: OWNER EMAIl.: <br /> COAI7RACTOR NAM�; ST � � <br /> CON7t�ACTORADDRH55: asR�er � S <br /> CCfY � � � BTAT� PIP ` <br /> CONTRACTOR PHOTlE: ��.� CONTRAC7`OR L'MA1L: R,VI�I ,T S �"Ll) -}C/y'. <br /> CONTPACi'Ot�LiG�N5�#(REQUIREA): 5"r �1 �G CITY OF EV£R�TT Bll�INE88 L10EN9H�(REQUIRED) "'7�3 <br /> PRIMARY CONTACT: �pw/�y�R COiV7'RACTOR C7 a7N�R(Plaase SpBClfy} <br /> CONTACT NAME: GONTACT PNON�: L,.{p�'s <br /> ���T ���LL- CONTACT EN1AlL: �,�-� �-� �.', �� <br /> �UiLD11+1l8 P�RMiT APPLI�ATION <br /> � �xlsFfn Uso of eulldln : " Contract Prlce of Work:$ � <br /> Prfl os�d Usa oFBullding_ HeatSource: aa �6lectric �Othet .�- <br /> �uAdin 9:�Fl�-pACached CISFR Aitached 1�Duplex 1�Muf4l�Farni! �of UnfEs: �Commerclal T'Industrla! <br /> e of Fto act: C.�NeW I7ACEdltforo ClFiemodel Re �Ir C17•I. CISI n ❑S rinkler C7Demolttlon OChange of Uae <br /> p�scRipTloN 01=WoI�K: <br /> ��nn ��� � ��2,�1.�.G� C'���S w a.-1 'e� �, �a,�r <br /> ASSOCI�AT�D HUILDfNO PERMIT� If e licable: <br /> M�CHANMCAI�.P�RIIf,�N'X'A�PI,ICATMON PLUMBII�Cv P�RMd'T APRLiCAT1aN <br /> Type aP proJect: �„�law _,r„ Addn r,Altera#ton _,_,Rap�}r Type of ProJect: �New ,_j�lddn ��1lteratlon _Repeir <br /> #°f Lfst'o�PArtures �°� Llst of Flxrurvs �°f Llst ures #of Llst oPFixturos <br /> Flxfures Flxfdr�s Ffictur F(xturvs <br /> /�/C--Alr I-landlln UntYS HeatPum TqNat 6ackflow P nter Inside Bfdp <br /> �,. �oraedAlt S stems Unit Hoster Hathtub Urtnat <br /> ` Ge�PI In BofJ�r Lavato Waeh Hasin pripktn ouMaln <br /> Waier Heater Ref�i eretlon 3hvwer Floor rain <br /> G�s Fire lace Wood Stove PCltchen Slnk&Rle oeal G se Tra <br /> �as Ran e DucHn pl$hwmsher of Drafna <br /> Gloihea 1] er Haoku s �ther: Clvthes Washer. dicel Gas <br /> Ran �Wood ter Heater p�h • <br /> �xl�ausp Fan Sin servioe/6arlMo etc. Other. <br /> SPI�1N �SS10 1FST�M <br /> emlca!or .af Fleads <br /> ACi<NOWL�A4EM�'NT.'�have revlewad fh/e app�lcaflorr end cw+nmr tn��n�olmarron oonta�ned Hen9p�/s tru�ana oorrac�,Work done pursvant ro IAIs perm/r must cwnply wl�h <br /> ourronl iederal,atafe,e»dlocal lew.Tns prwnNny�of e perml�on(y auUiorizea eppmved work and no devlerrona thoratnom.oavls�Jons must nrst De su!livrizad/n wNtmQ!l�om tn� <br /> Bu/tding OtNcJa!befoia bsing auJhor/zed under eny clrcumalence.1 em tho ownar,or I am outhorized by lhe ownero!fhla properly!o per�arm ihe wprlc forwhl�h eppUcatlon/s made, <br /> wnd 1 compry witb�ha Stefe Conlractors l.aw 18.27 RC W Bn4 2r+e-20oA lNAG <br /> Clly of Elreret�Ofllcle/Use Onty <br /> ^/� ✓ � P�f�MIT ��r �_�.J V <br /> �� <br /> Own y���orze Ag hf9[gnatura D6ta <br /> �r�,�sad �e <br /> .� • , <br />