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SIMI PERMIT APPLICATION
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<br /> BUILDING I MECHANICAL i PLUMBING I SIGN I SPRINKLER I DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> EVERETT 3200 CEDAR STREE I,EVERETT,WA fifICTI
<br /> (Ft)425-257.8810 I FAX.125.251,8857 I(EI oveterreps4evoterrea gnu I AWN evereltwa croviporrnris
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<br /> (Blue at Black Ink Only Please)
<br /> PROJECT SITE
<br /> PROJECT SITE INFORMATION
<br /> ADDREss:7322 Juniper Dr Everett WA 98203
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<br /> CONTACT INFORMATION
<br /> OWNER NAME; Candice Betz TENANT BUSINESS NAME(Commettlaij.
<br /> OWNER MAILING ADDRESS: s,mY7322 JUITIOBT Dr
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<br /> rp 98203
<br /> cr. Everett STATE WA .
<br /> OWNER PHONE:408..702.7401 OWNER EMAIL:cbetz200@gmail,Wriri -4
<br /> CONTRACTOR NAME..'t St Response Heating &Air Solutions LLC
<br /> CONTRACTOR ADDRESS ,,,,LLT. 19231 36th AVE W Suite I
<br /> Lynnwood ,tivr- WA 98036
<br /> CONTRACTOR PHONE;206,643.1525 CONTRACTOR EMAILinfoglstresponsenvac.com
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<br /> CONTRACTOR UCENSE SOEOLIIRED SA STRE RASSO P3 5 ga..,‘B
<br /> cirt Or EVERerr SUS:MESS LICENSE CRECAJIREDY ___
<br /> PRIMARY CONTACT; Cl OWNER 0 CONTRACTOR 0 OTHER(Please Speedy)
<br /> CONTACT NAME: CONTACT PHONE: 425.463 6873
<br /> Jeremiah Lee CONTACT EMAIL:jeremiatiOistresponsehvae_om
<br /> BUILDING INFORMATION
<br /> F xi Ointl Use IA Bthid,n7 Single Family Contract Price of Work:$A 34'l 80
<br /> Proposed Use of 5aorifrod Heat Source as 13Elecrne 001 her % i 11M
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<br /> tilUtLeil NG USt C1SFR :::townhouse FIOUtkle IC r iF1+011 ElMilill•Famtly-a Units: OCornineftfer L lAccipt%eni structitie
<br /> Type of Protect ZNItei LIAO:term CRemodel FIRepalt 1:3T.1, LISton CSprinkler I:Durnotftforr L',Chartrie of Use
<br /> DESCRIPTION OF WORK:.
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<br /> ASSOCIATED BUILDING PERMIT I II,appIrcabit4
<br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION
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<br /> 111116.1111 S - (0` [ PERmit 0 Coy of Everett Oftroal In.DAY
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<br /> OwnertA CT"- . ,7.1“ gimbal,
<br /> Date rReviaeo fa.10,2618j
<br /> Scanned by CamScanner
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