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PERMIT APPLICATION <br /> �"elfr* BUILDI IG I MECHANICAL/PLUMBING I SIGN I SPRINKLER I DEMOLITION <br /> l <br /> CITY OF PERMIT SERVICES <br /> 3200 CE `x" STREET,eveRErr,WA 98201 <br /> (P). 57.8810 I FAX 42546T-888T I(E)everettepstaeverettwagov I www,everettwa.govipertnits <br /> (slue <br /> i.stacktn,k Only <br /> P pRo javi <br /> sintolicoRtiATIoN <br /> PROJECT :/`' "g , 2 !PROPERTYTAX x ` OCOO 9/06 <br /> LEGAL tor new eonatniesorc Short.Panisubtlinsion Lot o_ (attach copy cf long lam#1 description) <br /> OWNER NAME: 5 o t7" t TENANT NAME(If Comm <br /> oWNER MADAM ADDRESS: s . 1hvt 45 r r <br /> OilY STATE Be <br /> OWNER E: 9 t6, 99t-9,3 75- OWNER EMAIL <br /> CONTRACTOR NAME 4r t4,4r.) STh* r .P .ri t rix. <br /> CONTACTOR ESS: rinser , go/A zy ., 'L. t4). <br /> eTry _ ci►Atef2, &ATE< frit g$d 340 <br /> CONTRACTOR PHONE: Y zs ?&$-' /06 I j ONTRACTO Il.;# C' ism{ e,,+ 4 rkt •cool.._, <br /> CONTRACTOR LICENSE##(REQUIREC): ° e' 71 Px CITY Of EVES BUSINESS!JOSHES 'OS 41 <br /> PRIMARYCONTACT: R 0 CONTRACTOR 0 OTHER(Please <br /> CONTACT CONTACT PHONE: $ 968 <br /> ZAimy Itemp.b0,.1 copirAcT : *a+ As A.40,,112;. <br /> 18MILDING .t Appu A' +t <br /> Existing Useofni Contract Price of-Work:,S ZOO <br /> Proposed Use of Solidin Heat Source: °Gas Meter <br /> BuIEdtng Type: °SFR-Detaches R °Duplex C3tviute-Fatrity4 of Unita: C Cnrhat"ercial Oindustrlai <br /> TyPe of Pivietot Mew InAcklitien C3Rerrtodel DRepair DT CtSign DSprielOe/ i3t moirnon DCnanle of Use <br /> DESCRIPTION OF WORK <br /> P,.e at 677,06. e+ trire4c1.414-re-AL 4/601-76A- t1 i 711 <br /> ASSOCIATE.0 BUILDING PERMIT#(ifapplicable): <br /> HAN1EEL PERMIT APPLICATION PLUMBING PERMIT APPLEtATION <br /> e of Projtt_Ne .m... Addn _Alteration _ftepair Type of Proms New _Atkin ..,,_.A aSan ,F—Repair <br /> tot L td giant mfP1x s a of List aff rttures #01 LJsst of Ightturvis <br /> Artsees Fixtures Fixtures Thrtureet <br /> •A —Air Handev Unita Hest Pump Toilet Sackflow Pre r(Innside Bldg) <br /> Forced Al s r Unit Heater A Bathtub Urinal <br /> 'Gas,Piping Boller Lavatory(Wash Basil Drinking Fourituin <br /> Water Heater Refrigeration i ShowerFloor <br /> Gas Fl =y,=ace Wood Stove Kitchen Sit*&Dispose/ Grease <br /> Gas Ratite IOukottati lid Roof Drains <br /> Oodles H Clues Wesher Mem Gas <br /> Range Brod I ater Heater Other <br /> Exhaust Fan Sink(ServicelBadhtoWetc,' Other <br /> EPfutisLER;I SUPPRESSION system <br /> jChernicai or Water I lNo.of Heads <br /> ACKNOWLEDGEMENT:I have se wed this application and confirm the isformeeon contained herein is true and correct.W4*dOrte PUrStiSst b the come mustconsstywith <br /> contra tensest,state,and local law.The vendor;ofa pemllt only authontea approved work end nodsvia ns theiehUnt.DeViSikint rAtAtt first be authorized in svalVng front the <br /> Bu&ding scut Wore being authorized uter any cbcumstance.i art the ons et.or lam authorized by She ovine otitis properly tonetiorm he work tor which . is,made: <br /> and I comply with the State Contactors Law 98,27 RCW and 296.200A WAC. <br /> City of Everett <br /> PERM <br /> 1 \,9)021 <br /> Ownedl . t-- Sure Date (Revised ef23r2016) <br />