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PERMIT APPUCATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES' Q00 CEDAR STREET,EVERETT.WA 8S201 <br /> 01425-2574010 1 FAX 25-257-8867 1(E)evaterrepseeverertrampe 1 worn <br /> Woe or Black k*Only Please) PROJECT SITE MFORMATION <br /> PROJECT arEADDRESS: b-13Z 13cVIill a frii `l J PROPERTY TAX 0c,c 7003bo1b1 <br /> LEGAL for naw cmrstrr,oiion: Saran Piairsuedionont Lot Ro• Sandi ropy al lamp logar domiPil:on <br /> ME: \�P 11C <br /> \_ <br /> CONTACT INFORMATION ', �. ; <br /> OWNER NAt„„,,,,„ \.L..,r4,, <br /> , , TENANT NAME(ft Vie: !►l&�Ti ,I�0 l 6 <br /> OWER MAILElG ADDRESS: : 6►13 )- ,IeN--Iy m o d '(V u /MP►,- ' <br /> CZY 15 k)-e"02-"t t x. 14,1)-0`3 <br /> OWNER PHONE: Lk --' - 3 if ---d1-1).--- MAIL: PSAo-,y,w,0 q v,,,: t . c o <br /> CONTRACTOR NAME: titCAtti r tritaP rt, s LL c <br /> CONTRACTOR ADDRESS: 1 '"1 q0 - <br /> ts no1'Vj i;El soot WA, tr �O -1 <br /> CONTRACTOR PHONE 4X CONTRACTOR EMIL: �,{.'r.Ii�f ffirf :SectA 1 p44 I f <br /> CONTRACTOR LICENSE t(REQUMEDI: (Q b =Lo(t , ., lct't'Y OR EVERETTousitiessLICENSE sorEoustayt � i <br /> PRIMARY CONTACT: 14 OWNER 0 CONTRACTOR D OTHER(Please Specify) <br /> y� <br /> CONTACT NAME: CONTACT PH NE: 25' 546 31 c- _ <br /> CWITACT EMAIL:allairjeriterfxlse c elk-4446m <br /> ---_ BUILDING PERMIT APPLICATION � -- <br /> Ensano Use Contract Price of rifotlt: —wow---' <br /> Proposed Use of a Beat Same.: OGas 0= --; • • .41••••*---- . <br /> B Acing Type: OSFR-Oefeched OSFR-AA1eeeneo''DDuplae 0Miih-Fara of -------- 0Comicreicisi 0>nd r <br /> oat of Prole: Mew OAddition (Nene:del 0 r OT.I_ • _- "Nes nkter OOemoMion OCTange Gabe <br /> DESCRIPTION OF WORK: <br /> BUILDING PERMIT 0 Of appNpaile). <br /> IL MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> (�1M, .,, / Type of Project _Nen , .w..rion er <br /> ell\ =1111 MatMatures List e= a al ferrerta <br /> GTR. AirHandingUnits 1 0- Toile! 0 Baddldrr Reverter(IFldide EM8) <br /> ^,L�". ,�_�unit"sots' b Bathtub a Urinal , <br /> MIN Ce""I '�mini!BOW �(Wash Btu) Drink Fotriaie <br /> L ... a.--- AM.f ii7. , '°� Sthor er la Float Drain f f <br /> [. a'r-..,,, 11 Mill—Wood Bove C) Kitchen Sink&Dispoeal U Grease Trap <br /> c MI6!4'�� =M C) Dishousafter (2 Roof Drains <br /> [I." _.. . !!m"..i MINK•"i--. 0 Clothes Wisher U Medical Gas <br /> =MEM=__ 3 water Heater (/ Otter <br /> L T �� Sink ) C) Other: __. . <br /> MIN Chemical or Wailer _No.of treads . <br /> AQJ,OWL fT:aIrawomMsadthbappttoa.onandreneweraarimn.rsonconatnadWsnaaaiawandcasact.Yltnradew pewee tbWspawls mat ewe*ddb <br /> CUMIN Mimi tea.and loaned.THa yretrtny ara pewee arabr,rabortms appioed wort and no*Watkins tharnions Grtorlsa ons was Nr7!be autl trove din nanny him the <br /> Elundirg Orati of Donnt Darny&retorted under any tents&anon r am e*awar,or i an annionlord qy ho owner-el Ns property mopononn rete woe Cr wenn apps-genet amok <br /> and Icow*%We the Stew C a*aosors Law ta,27 RCWand 2fB200A WAC <br /> Cly aI'Emelt Oeer e Only <br /> PERMIT <br /> I <br /> IQ <br /> Di <br /> rb 0 '-'''..-°\\ 1 <br /> Or.rudMdarfzed <br /> C?3r2Or6) <br />