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PERMIT APPLICATION <br /> Avezi BUILDING I MECHANICAL I PLUMBING I SIGN I SPRINKLER 1 DEMOLITION <br /> a CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 93201 <br /> -1,P)425 257-3313 I FAX 425-257-3337 I(E)-sva* t# m it I www.avarettwa.govfp®,rit3 <br /> itR . catat+ ititei rtlt,Pita ' -,,pf d <br /> PROJECT SITE ADDRESS: i �� a-' � � P <br /> LEGAL for naw onttrwatian. Short Plat/tuba PROPERTY TAX t#: <br /> aJw,c adi,�iIan <br /> Lot Vo•' (attach copy of long legal daacription} <br /> OWNER NAME: �„ '� ;. <br /> • A` * i -._•� <br /> � TENANT NAME(t�Coma�+ d'ctt); <br /> OWNER MAILING ADDRESS. - .__ ,. <br /> iT�'_ <br /> .. ,/ t <br /> OWNER PHONE: rax A t.1 <br /> � OWNER EMAIL: <br /> CONTRACTOR NAME; <br /> CONTRACTOR ADDRESS; <br /> OCr,+ <br /> CONTRACTORPHONE: s - I , : ` <br /> a 0 60 CONTRACTOR Malt. t <br /> A.; : _ , <br /> �Iw 't"f �i t[ 5 �.4i w a, a , A t. 4';i <br /> PRIMARY CONTACT: ❑OWNE •R ArCONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: ,4 <br /> "DeAcio Le, <br /> CONTACT PHONE: z5 255 055z)- <br /> CONTACT EMAIL E , <br /> etiddin� <br /> t Contrac 'rice v� r'ark:$ , }c7 - <br /> '. ed US:"Of BUIldlitt; ;. <br /> Haat Sours:.: 9,,s CEectric ❑Other <br /> Sufi-Ay Type: CI3-R-D=tachad 0iPRArfa � _ --- <br /> i 1DualeK C itulti- a €il - of Unita: <br /> Ty of �JN9w C7Commarcial CSI tciustnaf <br /> ©Additi.n €0oR: odea 0 •aaaif 0a,- i <br /> `SCRIPTtON oP W �T,(. L3 i• <br /> WORK: <br /> r Demalitiort C3Chan e.of Uy3 <br /> c <br /> et' r�r - vim- <br /> O <br /> 5SOt:tATEC7 B1lf DING PERMIT#(if aapit.... $ )q;. <br /> # i.EY°n;,,:-°.,°, ..`"'J.,„..:* r' S `mC 4( ul <br /> Type ofProject: ,_Naw gddn Alteration � �`f �, �� � �� <br /> - - attitV. .lt d`onl lel <br /> Repair ` <br /> af #of Type of Project: ^New Addn Alteration Repair <br /> atestatita � '. ,.r4 ^V ,. #of #af' <br /> turas <br /> Min Forced Air Hardin. nito'' r €na t x� . <br /> MINN C- Nkat Purnp <br /> Air System <br /> NNW Gas PiPfng 11111.11 rt[ Heater Be Ow Preventer .inside <br /> Water# Bathtub � Urinal, <br /> eetst angler IIIM[ahat :Was Ae3, <br /> er (deNMI i •.Fountain <br /> 1111.KtVIM <br /> 111.1111111111 Shower <br /> MIMI Floor <br /> Pin aeeins Wed Stove qter€Binh&elsonSal Grease <br /> NM <br /> Inn EA DishwasherNII Roof Drainsee:* erHoaktMOW r: �ea sr r:s ora , Water OtheVia at Fan <br /> 0 MadtIINIal NM O MervIceiBarimo.ole, limo Other*, <br /> r* <br /> ''F'' <br /> Chernica(cr Water nn <br /> MIN rk cf Heads <br /> ACkNOWLECGEMEN7.•1 have reviewed mie appikancr and coop=the intcmtaticn ccntalned herein is true and correct.Werk done pursuant lc this permit must complywith <br /> current federal,stare,and local law.The granting of a cell only authorizes approved work and nc deviations therefrom,Deviations must first be authorized In wriiing from the <br /> Building Official before being authorized under any circumstance.1 an•,the owner,cr i am authorized by the owner cf this roe to pertain the work for which annlicapis made, <br /> end I ccn•.pty with the State Ccrtractcrs Law ia.27 RCW and rse.200A WA C property ny p <br /> City cf Everett Gide!Use Coty <br /> ( Ir4; PERMIT <br /> yy/�► <br /> CCS,eriAutherIzed Age. II si.� 1 al V ' <br /> 51�i1EuTa <br /> care <br /> - (Revisedgine2C1-61 <br />