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BUILDING/MECHANICPERMIT APPLICATION
<br /> AL I PLUMBING rI SIGN l SPRINKLER(DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET,EVERETT WA 98201
<br /> (P)425-257-8810 FAX 425-257-8857"I(E)-everatippsoeverottwoaw I,www,everettwa.govipermits
<br /> B uor.�'i33 t
<br /> e ii' `ttti < tetas g,Vitv:$
<br /> PROJECT SITE ADDRESS:
<br /> #-
<br /> LEGAL for new construction: Short Ptat10 . vh€ia s.-- ' I A A PROPERTY TAX#:
<br /> ikxt:No• (attach copy of long legal description)
<br /> cou7"Ac i - a'}A ON",--,',,,,..,-,,,f, 111 ,,
<br /> O�ER NAME: 1� • a �
<br /> s t" ♦ TENANT NAME (f Commercial
<br /> OWNER MAILING ADDRESS: '
<br /> CITY .:
<br /> `:
<br /> W, STATE
<br /> ®p ,� •: AA
<br /> OWNER PHONE: �,,
<br /> 7..IP
<br /> ' •� -..e -. OWNER EMAIL:
<br /> CONTRACTOR NAME Ylt
<br /> CONTRACTOR ADDRESS;. sTnEET
<br /> STATE tk), , zf?,ggZo I
<br /> CONTRACTOR PHONE
<br /> 2F-3—I. O 0 CONTRACTOR EMAIL •
<br /> . I
<br /> PRIMARY CONTACT: D OWNER CO. '0� Q OTHER(Please Specify)
<br /> CONTACT NAME: - •-,
<br /> CONTACT
<br /> '(� PHONE:
<br /> eIlatO L¢ r` Z�J 2 05�U
<br /> CONTACT EMAIL #, " _a>
<br /> Use of 'P ��
<br /> E ur1, StAllrlin'.: ,
<br /> Contract Price of :
<br /> Pro,s Use of Butt(" ;
<br /> =- =' Work:4- -.. , �.0
<br /> Pail,. £ I' ;' .r„r Heat Source: OGas ti tiddler
<br /> P =Detached ❑SFR-Attached 0013,leic i
<br /> Atilt faa of Units,
<br /> TAat;ofPme : ❑New DAddition ❑Remodel nkler CDDemoiitioCommercial ❑Industrial
<br /> DESCRIPTION OF WORK: R"®, ❑T.l_ kh „`
<br /> n 1Che a• of Use
<br /> {I I $fQ1U A C 4 !J. CD i 1—
<br /> $Oc ATED BUILDING PERMIT# Ito s*hcalaie; ,
<br /> kt,OWFitiiM ffAP ic4 J*N 4' l &x�
<br /> Type of Project: `New 4 Addn •. -j
<br /> #o Aiteratlon Repair «
<br /> Id•&r ,o a ; #Q f Type of Project: _New �Addn Aiteratlon ,Repair
<br /> _. tl of
<br /> A/Cgig up .—.Air lll( nc l trirxxEtiros FlxturQs
<br /> anti Force,. Heat P
<br /> t`S "� erns 't' IeI .
<br /> se'i>t"r• Uiit.H'ttr iltfr +t?rrx Illi }'
<br /> Mom �z%irfit UCi
<br /> Cater Heater �w ":Wash'Rf# 0 4 p ntain
<br /> Gad rH eater Willi Rte` rte; Shuler
<br /> ` tEttc#regr`ink&0
<br /> *�=oael Fitior t„#t°t,
<br /> C1011160'0 at ktl)ts t(tt 4'f- +ashe
<br /> re�BS� t'ao
<br /> ns
<br /> a q#5Cj Sth69: now Rik .rat
<br /> cIothet
<br /> .111.1 . atst Fetet873ter �t.£ I Gas
<br /> Slr�ir S>�rvtee/bar/Mo. .�; t�ltit�erlowsuisilw y.
<br /> iiiiiii maiM.,,,- ,
<br /> mimuit
<br /> Chemical or Water
<br /> No of Heads IIIIIIIIIIIIIII
<br /> ACKNOWLEDGEMENT:/have reviewed this appl/catron and confirm the Information contained herein Is true and correct.Work done pursuant to this permit must
<br /> current federal,stare,and local law. The granting of a permit only authorizes approved
<br /> •Building Official before being authorized under any circumstance.1 am the owner,or I am authorized by the owner of this property to perform the work for w
<br /> work and no deviations therefrom.Deviations must first be authorized In writing arpayr,W with
<br /> and!comply with the Slate Contractors Law 18.27 ROW and 296.200A WAC.
<br /> filch appilcaflon is male,
<br /> � PERMIT# City of Everett(Metal Use Only
<br /> ° hrT111Ct of i:td A q
<br /> '.1galrts D:ote (Re i.,.0,
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