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02/27/2018 TUE 11: 31 FAX Fn�t WatOr HOAtOr f�002/043 <br /> ��'��� <br /> M��Rlil�l�'APPLICA710iV <br /> �t,DIL.pI�I�/MECHANIC�►�/ PLUMi31h6G 1 SIGN 1 Sl'R�f11��.�1Z/DEMOLiT(ON <br /> GI7Y pF�VERE77 PERMII"S�i�VEC6S <br /> 3200 G�pP�i S7R��T,�VERET7,WA 98201 , <br /> (P)426-267-8810 � FAX 426�257�8BB7 �(C)averettepe(�evereilwa.gov� www.�voraitwa_gov/parmlts � <br /> (�lue ot'�l��k U�k Oaa� $�le�eise PGgOaBE�'x`SIT�M�IF�BaM�AYM�1� <br /> �pFtQJ�CT StT�ADDRCSS: � "� PROP�RTY Tt�(#: �} � ; � � <br /> LE6AL for new conatructlon; 8hort P�adailbdlvlelvn Lot No.�_ _ (attaah copy of lono legal deecr�ptlon) <br /> �ONT�ar�N�oR�warro�N <br /> OWNER NAIUI�: �L�.j � C TEN�NT NAME Jf Corqmercla[); ---- <br /> OWN�ER MAIL.ING p,qp��SS� 6meer � c�� <br /> cm ern-►e a�r p ,3 <br /> OWN�F2 PNONE: OwN�R�1IAA�[L; <br /> CONTiiACT�R NAM�; ST � T <br /> coNTr�,acrol�a,ao��ss: �6fi� �-I ,5 � <br /> cm � I,,,� ara� z�� ` <br /> CONTRACTOR PMONE; ��s CONTRAC'COFZ�IUTAI�.: �Q,I� ��T� -�'�,U -1v� , <br /> CONTRAC7qR LIC�NS�#(R�GIUIRED): s� � �G CI7Y OF EV�RETT 8US1NES5 LIC�PJSE�(REQUIRED) 1�3 <br /> PRtMARY CONTACT: 0 OWNER CONTF7AC70l2 ❑OTh��R(Plaasp Specify) � <br /> CoN7ACT NA811E: CONTAC'f PHONE; �'�' ' <br /> l�t'� ��"T�� COfV'TAGTEMAIL: 1�•I� �� ��I <br /> �MJ1tDyN6 PLRNII�'APPLICATIGIN <br /> 1� C-xlstln Use of Bulldln : " Contract Prlce of Work:$ � � <br /> � Proposed Use of Suifding: Heat Souroe: ae ❑�lectrlc L�Olhar �• <br /> �ulldln e: KE2-petaclied CIS�R Attaohed ❑Du lex �Mu1tk�Famil �#af UNts: OCammerclal Cllrsdustrlal <br /> e of Pro ect: L�NeW �Addiffon �7fiemodel Re afr �T.I. 05i n �S rinlcler �Dsmolftton ❑Chan e of U5a <br /> DESC}�lPTI0f10�WQFiK: <br /> vVl �U � �� �01.�� a S w a-�'�� � � C�;�� <br /> � � �Q u� I�-I�S� <br /> AS30CLATED 6UILDIN�AERMIT# !f a licab[e: <br /> M�CHANMC,�IM,�'kRll�k'X'�1PP�iCA1'�MON PLUMBINCti P6RM�T APPLIC.A,T10A�1 <br /> Type oP ProJact: _,�Vaw „W Addn �lRsratlon ,�tgpelr Type of Prola�t: _New ,_,4ddn �iteratlan ,r,��palr <br /> A�of Llaf o!'Rfx�uras #°, Llse of�lxiures �01� �,Ist of Flxturee �°f �Llat vf P/xtvras <br /> Flxture.s F/kfurea Flxturres Flxtuf ea <br /> �vc,Alr Handlln Units HeatAum on�t eacktlow even�er Inelde Dld <br /> � Forcod Afr S tems Unit FleatOr Bafhtub urinal <br /> ` Gas Pl fn Boller �avato Wash 9asln qrf Fauntaln <br /> Wafer He�ter Refrl eratton Shower F or l7raln <br /> Gas Flre lece Wood Stove KI'tchen 51r►k&D]s osal rease Tra <br /> Ga�tiAl1 e 17UCtin Ishwasher f�o pr�Ina <br /> Cloihee A er Hooku s Other: C thes VVasher i�al Oas <br /> Ran e Mood Wa Neat�r 04ha . <br /> �xhaust Fsn Slnk 1ce��arlMo /e Other: <br /> SP��N �SSIo M <br /> emlca!or W .of Wesde <br /> ACKMOWLFOGEM�NT.-/haVe revlewed fh�appllcallon end conffrm the lniorrnefton confeln�h9reln f�fruB end correcf.Wo�c dvne pursuaat fo thls parmlt must comply wllh <br /> o�rrenf lederal,atafe,end bcaf(ew,�ha�rentlnp ol e permlt anp+au7hor�zas approved work�nd no aevlat/ono tlrorehom.Devleflorta mus!tlrsf b�eul�orizatl!n wrlfing hrm the <br /> Bu!(dlnB OfNClel befoig b�/ny aufho�Yzed unde�rany clrcumat6nca 1 am th6 ownel;o�-�8It1 aufhOn�ed by the o�vnerof th/a prvparly fo perform fhe wodt forwhlch 9ppl1o8NeR IB 1ll�de, <br /> �nd 1 compJy wnh fhe Sfefe Con�rectws Low?s�27 RCW end 29aTA0A WAG <br /> Clly of�verelf OfAclal t/se Only <br /> � � � /� � P�FtMIT � � �n <br /> U d <br /> OWn ulhorze Ag l�rf9ignature D6l'e (RevTaed a/209�) <br /> ' <br />