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PERMIT APPLI�ATION
<br /> B4JIL.DI(dC� /M�CHp►NI�/�l�.!f�LUllllIBIN�/SI�N !�PRINKI.ER/ �EMQLI�'I�N
<br /> CIZY OF EVERE9'T P�RMI'f SEF�VIG�$
<br /> 3200 CEpAR STRE�T,EVERETT,WA 982Q1
<br /> (P)42a-257-$810 � FAX 425-257-8857 �(E)�veretteps�everettwa.gov� v,rvvw.�verettwa.gov/permi�s
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<br /> PRQJ�GT�I'T�AI�QRESS; 7 5 SW Ever�tt Mall Way Ever�#t,WA 982Q4 _ PROPE�TY T�X#:
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<br /> t���,aA4,fcar n�w construetion, ahort PlaUsubdivi�fon L,ot NQ. (aktach�apy of I4n�i�gal deseription)
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<br /> 4RFY4\�f'1,��M1/91�: .. .. . . . � . . . . . . 0 G�R1!\{ ��Itl�\'1 1MQ��Q'f�Il�'�• Y'4t�'1 .
<br /> AWAt�R AIIAl�.IN�a A�t�����; sr���r 1�SW Ev�ret�M�II Way
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<br /> c�Tv �verett s�ear� �►� z�a 982Q4
<br /> QWN�R PhlQN�: QWNI�R.EPAAI�: ,
<br /> GON3'RA�TC�R NAM�; ��plumbi$Fir��Ii��.
<br /> CQNTF�AG'F()I�A[�DR�SS: s-�R�Er 111 $outh Findlay Street
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<br /> ciTr Seattle s�eA� WA zi� 9$108
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<br /> GONTRA�T��€PHf1N�: 206F232-8589 CANTFdAGTAF7 EMAIL.: ��Mrdad a4jcols�mbiaflre.net
<br /> ��NTRACTE)i2 R.IG�NSE#(R�QUIRED): GOLUMFl952MG CITY qF EY�R�TT BUSIN�SS LIC�NSE#�RE(lLIIRER); 0482�9
<br /> P�IAA�RY GQ�'fACT; CJ QWNER 1,1 CONTRACTOR I�OTMER{Riease SAscify} �
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<br /> Cff��J`fAGT NAI4�E l�ehes��ci F�ad f:@NTACT PhlC?t�E; �t1�-2�3=�5�� ` +
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<br /> �c�stin Use af Busidin : �� Contraat Pri��of Workt$ 11,OQ0
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<br /> Prq os�d Uss of�3uildin : ��es Heat�ource: �lGas C7�leetric L7Qther
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<br /> �uildin Type: GSFR�Detached C7SFR,Attached CIRu lex �]Mul:i-Famil �Qf Units: QSl�cammsr�i�l �lfndustrial
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<br /> T' �e of PF4'e�t: L N�w �IAdslition I�R�mod�l ['�Re al� C�T.L C7Si n [El�prtrtklar �1f��m�li�i�n �I�han e pf�ls�
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<br /> Cl���Rlt��1�N CA�'1AIE�f+K; NRPA,13 T!WET 9YS?I�M
<br /> 3PRINKL�Pt HEAQFt
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<br /> A�SfaCl T�D BUI�.CiINf�P��MI�# If�p li�abis): ("�s ��� ���
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<br /> 'fype c�t PrujecC: .,_„�N�+w Adsin ,.�,,,,Alte�aklqin ,,,,,�,.Rspalp� TYP�ofi PraJect: ,�,,,N€�w „�,�i�in ,;;�A,Iterafiian .�,,,.�,R�P�Ir
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<br /> Lt�2 at'�Ixtures L,�St af Flxfule� 41�t of l�i�tlrr��r,c L1sQ of Ff�tures
<br /> F6xtures �ixture& �lxtures Flx#e�r�s
<br /> Al��-�1ir Mandlin �1nit� Heat Pum Toilet _ �a�kflcaw F?revent�r Insid��I
<br /> �ea�ce��ir� �tems . Unit Hea,t�r Bathtu , _ llrin�l , _
<br /> �a�Pi ir� �oiler' , . Lavaf� �KV�sh�asin) ., Qrinkirti Fountain
<br /> ��lat�r H�atse . _ _ R�fri �r�tion _ Shower �I�gr�rain
<br /> �as Fir�.ac� . GV4od Stave Kilch�n Sink�&. 1i�p�s�l . _ �r�ase ra
<br /> �as Ran"e_. : bu�tin. . �ishwash�r . F�oof Dr�ins ,._ .
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<br /> Glcrfhes D �r Ho4ku s _ Qther: _, Clqtt�es Wa�her ' . Medic.�l Gas:
<br /> Ran e Ho�d _ _ _ . Wa�ter �ateF., , .. _ . 4�EhQr; . . . _
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<br /> Exhaust�an Sink(Servi�i arlMopi�tc: __ Qther:
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<br /> _ �e Numb�r o Heads _
<br /> ACKNOWL�DGEh1ENT.�1 haye reviewed this applicatian and confirm the infprmatian contained herein is true and Cprrect.Woric dor?e pttrsuant ta this permit must Corriply wrth
<br /> currt�nt faderal,sfats,and loQal law.The granting of a permiE Qnfy authorizes approved work and no d�viations thsre/rc�m.�svi�ff4ns must f+rst be ara.thor�ged in writing from thB
<br /> Etu1(ding Q�ci�1 beforg baittg autfiorized under any circumstan�g,1 am tM@ Qwner,or 1 am authadzad by fh�ownar pf this�roparty fo perform the wcuk for whi�h��Qtic�atioF�i�m�dg,
<br /> and I Gomqly with th�Sfate�.ontractors l.sw i9.2T RCW arid 29fl. OOA WAC.
<br /> �iEy of Eyerett Offieia/U�e Only
<br /> �i PERMIT� �I � ( V� O .
<br /> 1Q-"�7•1f
<br /> t� �r/Aluthor Agent �t4�t'e . . . _ _ _ Q&te . (RsviSed�4� Q96,
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