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' BUILDING(MECHAN(CgLERMIT APPLICATION
<br /> PLUMBING/SIGN I SPRINKLER I DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET,EVERETT,WA 98201
<br /> )425-257-8810 1 FAX 425-257-8857 I rE)everetteps@everettwa r 1 tuww.everettwa.gov/permits
<br /> ' h i o^``Btae ',tti; " ttliy Please $ _
<br /> 8,, '
<br /> PROJECT SITE ADDRESS �'
<br /> C . •
<br /> °� t,-••, '' .� , . `" PROPERTY TAX if:
<br /> LI~ AL far new an,'eucJnn: Snort PIa ae
<br /> t.+ttidivielOri
<br /> fat No.' (attach copy of long legal description)
<br /> OWNER NAME:
<br /> i` TENANT NAME" G
<br /> OWNER MAILING ADDRESS. STREET 4. { $Tai)rcl ll,
<br /> 40 (air $ .._�.d_.J' ''
<br /> 4111 '
<br /> OWNER PHONE: s:nry zrr dl .era .:..
<br /> * X' OWNER EMAIL:
<br /> CONTRACTOR NAME: $
<br /> CONTRACTOR ADDRESS
<br /> CITY... 'Nlw F., L ZIP
<br /> CONTRACTOR PHONE: STATE
<br /> 0 .
<br /> GONTRACTORLMAj i*r *
<br /> 'e A® —0. > ' "A'` 16 a is* ?
<br /> .. :. ...._., ... .. ... ., ... . Y= #;,moo...,
<br /> Pi MARY CONTACT: 0 OWNER ►';CONTRACTOR 0 OTHER Please Speci )
<br /> CONTACT NAME:
<br /> CONTACT PHONE: TJ, Z^``^CCJ Qi '
<br /> CONTACT
<br /> EMAILg<,'
<br /> Exastin. Use of t3,etitiil `,
<br /> Contract Price of Work:$ ' '' 4.#21,
<br /> Pro. 0 [Use of Ekwl tn.:
<br /> Building: +e: Heat Source: r."' QElectric QOthec _
<br /> �P�� che —
<br /> t# CISFRAttached ❑Dupteaw f:IMttltt:,i~eniit 4oftiitligi
<br /> 'Tipp of Pro ❑New QAddition ClRsmo sl QR peir ❑T,I. OSI. ' )' _ ClGommerclal of Use C./Industrial
<br /> DESOt ll r iow OF WORK: Q n t f ❑Demolition d j7 ctd='i: Use
<br /> ins- l 9e6 Futrn ace- Q,s li',l.e...
<br /> ASSOCIATED BUILDING PERMIT#, fPj}eiabi'*;; e. .'
<br /> ZCIH'ANtCA.I,aPE It*PP `t H
<br /> Type of Protect New � Repair ` rs.� ������r-� !.P ,fi,. u _ -, ms
<br /> .,,_ Addn Alteration ' to�1 LL
<br /> Type of Project: New Addn ^Alteration Repair
<br /> Waliinliffif.3, ;. r #of
<br /> } W's 'ivwttxsz -
<br /> G_ jr i rt l)r�R� J01 +res : • t •-..-,-�-
<br /> Forded Air• : yterns #6eaCih p 1alafIMO '.;
<br /> allillaill s.Piing lJrsi: ater, ltui, Rkfilow 1'reventer, taia Rte:
<br /> W'st r Heater9WNW a'1 Oler Lavas Wash•'Beath
<br /> MIN pSIVINe€rf:.rpialh° ,� Fl or Dr Fountain
<br /> has Fira't��� �r MI=Floor 1rairt
<br /> Wm Gas Rirer t a Stove K€tUhheri S k ,Cie."... l
<br /> IIIMIER Gtas Ren er#lrirsttii as L'tuctinr." ts� er Root D i'e,
<br /> EMI 1t '$'H Otey: Maw e�if;C)rGa
<br /> MININ triattt s'W s er OtherMedical Gas
<br /> E ha tst fan Water seater Other;
<br /> y e, ^
<br /> Chemical or Water
<br /> No o Heads ' IIIIIIIIIIIIIIIIIIIIIIIININIMIIIMMI
<br /> A`ll4A$t t t t CCaEIdI lJt $haue a v$etaq d3h1 ppttcat$tin and sera
<br /> cita
<br /> caiman 1460 s!3$a4 and ioc+3tt$EYrd.The this
<br /> A dt a $trrsa$1tl:Inirvizn tion.tent tt7�?•4�'1f?41d9 and 4dePatrt 10
<br /> 10
<br /> u,X mting d eras,tz lora-nd iocel kw.rz a gif am y'444:10v
<br /> 41 Pe enhi A> r arrr au*rot tno'1 JsktrsatSt to is ,a p U t tePfi was
<br /> eardar4 l in sa Oros dent a $tsar itrtt t' 'ertyia fr7( rl '4, � tea tnaC iretrs s
<br /> and"t camfNS'lw itf kho St o,Oti4Oicr4 Lew ra. '4 10v and 466 2O ' WA
<br /> y this d�xa�.�tlttRs�rTcriurarty"'tn paH<arrsf:the' + �r a��aat�r fs zt?�sai6:
<br /> r}{y`of Everett Official Use
<br /> PERM k glI, • ^ I.. iQ, # 417 • 1,
<br /> Ow a ,Autlperized 40 SigttatUre
<br /> Dale
<br />
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