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PERMIT APPLICATION <br /> BUILDING I MECHANICAL I PLUMBING I SIGN t SPRINKLER!DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everet» + i-a ' <br /> J 1 ► $8Iack it ii1y Please x_"{ "' ( www.everettwa.govtpermits <br /> PROJECT SITE ADDRESS: <br /> 3. PROPERTY TAS ft: <br /> LEGAL fur new construction, snort piati,tihdivisivo <br /> La No. (attach copy of long(eget description) <br /> CO'NTACr'rI O MA Oft/-,-/,,/ <br /> r h, . <br /> OWNER NAME $ <br /> TENANT NAME lit Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY e'.:, a% <br /> ' ..+u ..,OP STATE <br /> Q • <br /> OWNER PHONE: rFR_: : <br /> "' • OWNER EMAIL: <br /> CONTRACTOR NAME. 4 <br /> CONTRACTOR ADDRESS: STREET <br /> crtY A.,. ;°, <br /> STATE A. "" ZIP+' -� <br /> CONTRACTOR PHONE: #Ct, C) CONTRACTOR EMAIL - ' it' <br /> PRIMARY CONTACT ❑OWNER 1.1 CSONTRAOTOR <br /> ❑OTHER(Please Specify) <br /> CO'tsiTAGT;NAME: <br /> �^`A t^ LQ, CONTACT PHONE: ,�GJ 2G� ints <br /> �J CONTACT EMAIL <br /> r <br /> „Existing Use of Building:' - _k <br /> Contract Price of Worts:$ *lb 0-410 <br /> PrOrgWitti Use of Bilikiln. <br /> C3tiilCfir4% Tae k.v` '•.- <br /> Heti Source: ❑Gas =tt'% I�Other <br /> 'CI <br /> tlFIR4t e Toupiea ❑Mule Fa f 4of Units: c i <br /> T ti=,of Pro_- []Addition ❑Ramodsi � � --„-,—. C7Gommer,�ial f�Industrial <br /> DESCRIPTION OF WOR}[; ".a(r L7T.i. Q ia., � Ink(er ❑Demolition CIOt1 n<s of US,?. <br /> t 1/14.9r( tx., teuisiti_ , .?tifyli:) avla, (pit__ <br /> ASSOCIATED 131JILDING PERMIT I` #.=if ax <br /> Pftet <br /> iTyPe or Project• New 4-4 Addn � 3414, 4`���� E--','. . ''ti ..� <br /> --alteration Repair Type of Project ,New Addn Alteration Repair <br /> #tai <br /> *of �>�* <br /> iiftbt <br /> AfC Air Ftadiirr, lt�tfi .. �y� t��•--..�..., , <br /> 11111.11111. Air <br /> Haat a - c�et <br /> Unit Heater Bathtub 'MN 'Sackfio v t tau r" s t y <br /> Mei Water=eaternum DZIIIIIIIIIIIIIIIIIiimint <br /> cit MEM� -;'-ash�i <br /> �Jloori=r Fountain <br /> Gad��:-�� <br /> -,ate. Wi� �� �e� imnillF(dor.Qtatrt <br /> Save f .4 ft '&t?ts.naat <br /> Oen Grease Trap <br /> MIR Cttatt � .: H IIINMIIIIMMII ° = <br /> Other: Roof Drains <br /> a t�tf washer motels!Gas <br /> MINN�rSt Warr Bate umminamormai- <br /> Other. <br /> ,y(p wy�..d q ERYSi)}!�,. �( F� Sin erste-"k3.arilMo./at Gltllari, <br /> " ' :, Y!' i'�F�IR 'J� tTfl' TI�I d � 5�3"mini,imailimmnimminImmulimommis d <br /> Chemical or Waterimila No.of Heads <br /> 11.1111 <br /> ACKNOWLEDGEMENT.I have reviewed this appticafIon end confirm the Information contained herein is true and correct.Werk done pursuant to this permit must comply with <br /> current federal,slate,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> BuildingOfficial before beingauthorized under anycircumstance.I am the owner,cr t am authorized bythe owner of Tis property to perform the work for which application is made, <br /> and I comply with the State Confracicrs Law 78.27 RCW and 296.200A WA C. <br /> A Arty <br /> Mia of Everett Offidal Use pety <br /> e • <br /> P PERIM <br /> Y,?�c, tfAtttlicrtd i t <br /> Age <br />