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"Iiii11PPERMIT APPLICATION
<br /> BUILDING,/MECHANICAL/PLUMBING I SIGN I SPRINKLER I DEMOLITION
<br /> CITY.OFEVER4 i.i PERMIT SEW/10ES
<br /> 340 CEDAR-STREET,EVERETT,WA 98201
<br /> 0'1.42547-8810 J FAX 4254574857 RE)eVeretteps@everettwa,govi wwW-everettwa.gOIliperinitt
<br /> iiktue,:oeiBiiaktiik.Oiiifplaieii•,:•.: PROJECT SITE -:-:'. ':-:•,,:,-..7..']:!.•,•
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<br /> PROJECT SITE ADDRESS:221 SE Everett Mall Way, Suite 4-2 9820 PROPERTY TAX#:
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<br /> LEGAL for noir constuotiorn:Short Plattsubdiviston ,,. . _ ..... Lot Noi, (attach toOyotiong.(gaitlespription)
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<br /> OWNER NAME: Doug Hrabik TENANT NAME(If COran!erolal); Rod Wing Shoes
<br /> A,... N. A
<br /> OWNER MAILINGADDRESS: StRser IS 11. Central Avenue
<br /> orry.CanontbOro sTAig PA ZIP 153,17 „.
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<br /> OWNER PHONE ,44-,AA-A000' ., ..... ..O.•
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<br /> NER EMAILloio@pasniKom:
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<br /> CONTRACTOR NAME: Gast Mk Cein#acting
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<br /> CONTRACTOR ADDRESS: veto 15 North-Central.Avenue
<br /> CV Canoncburg wpm PA zo 15317
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<br /> CONTRACTOR iniONE.:. 724,941-2055 CONTRACTOR EMAIL tom@cassnik-corn
<br /> 603584720 A 14-4e-•=1#i eti4
<br /> CONTRACTOR LICENSE AREDuiRED).: - .. k;,...!1•8 lile.V1 GAITY OF c-u °"6.-....-,...TT.BUSINESS MEW#1Rggumg14: rpt71/It
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<br /> PRIMARY CONTACT:. ELOWNER UI coNTRAcToR El OTHER:(PleaseSpeoilY •
<br /> CONTACT PliONE 724-941,2055- . . ..... .
<br /> CONTACT NAME:
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<br /> Tom Allen CONTACT ENIAIL-tom@catsnik.corn
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<br /> Existing Use 0 Building: Contract Price otWark:
<br /> Proposed Iteeoffitilldlog:Red'vviiv.Shoe's. Heat Source; ... Gas • ElElectric ElOter - ,
<br /> Building Type: clEPR,Petesheci OSFRAttacheriE3Duoltor ..,ElMelti-FarellY-4 Of Units t IZIGornmerciel Clindu;triat f. . •
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<br /> Type df PrOjeot 4011/41ew .ElAddition EiRemptlef GIRepait 1:1-rj. EISI§n OSprinicler EiDernolition EICharige ottise
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<br /> DESCRIPTION OF WORIi". - ..
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<br /> Finishing work for previous GC, interior fit-out
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<br /> ASSOCIATRI)EMPINP P4RMIT.#(if aPPlicatlie):. . -
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<br /> ..;', :;1:'."‘:.::•:Polg:011A01.iit4j0.01/Alt::APPLICAVE00:''..': . :. :1<-.. ...-'1•:.',....:.•'..: iitiiiini30101#.EitiiiiitAll*Otte*TIOrtVi
<br /> Type ofProjeet: New Atidn . Alteration Renair .: Type of Project New : Addo Alteration _Repair
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<br /> Fixtotes
<br /> List Pt fijfillres . List of Fbdures ,rotures . List of Fixtures Ritures List of Fixtures•
<br /> Retires : •
<br /> No-Air Naridlingvnits Heat Pump . - . Toilet • ,Backflow Prevettet"(InSide.aidg.)
<br /> forOettAir,Bygems. — ..— . 'VOA Heater laattdob ' 'Urit)01
<br /> Gas Pioina . Boiler _ : • . - " tavaterY MaSh Basin) Orkiking Fountain ... -
<br /> Water Heater Refrigeration ' Shower .. ... Floor Wain:
<br /> TGas Fireplace . 'Wood Stove : , .1<itchen.Sinit&Disposal Grease Trap
<br /> Gas Range Ducting Dishwasher ... " :-Roof Wales:
<br /> Clothes Dryer Hookups Other . ,.. Clothes Washer Medical Gas
<br /> Range,Hood • • . water Heater • . '.. Other:
<br /> Exhaust Pan-- Sink(Service/BariklePret0 • • Other
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<br /> . :. :::toloNKO,Ett:1:suippROOSOOti:SYsirti1.4. :.' • :
<br /> .. ..11‘.1yrotter of H • • • - "eeds
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<br /> . .CM0KE,DOE04eNt.,..I'.6ave reviewedthis application,and confirm theillicrisatiOP••contalcsrl herein Witte.and sorrect:Woric•dorieP urSiientio.tide permit must comply with
<br /> current federal,•state,and local law.The granting et a permit only arnhorize&approved work and no deviationo therefrom.Pevistiobstatidt fiat be Suttoritedlii met rib*w the
<br /> licilpfilv OfficiSibliftios being authOrizsd Muter any•cimumstesce.lam the owner,or tam atithtsiterl byllis bWirer of this pirtperft toperform the,work for which sppfleatiort is made;
<br /> and!comply with the Vete Csotrectors Law 18.1714:61eSnd 296.200A WAC
<br /> • , coot Everett Ofitclat ilSo Only.
<br /> OEtiMIT#
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<br /> OvgitertAythAirzod Agent.Sinnitu e Oats (Revised 9/23/2016)
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