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PERMIT APPLICATIC)if
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<br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION
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<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200-CEDAR-STREET„,EVERETt,,,WA 08201
<br /> (P}425-2574810 I FAX 4.25-2574007 i(E)ovOrittaps@eyarattwagaVi-.twv.w.;avorattwa.go-v-Ipeorilis
<br /> (tfiii-otot**inksgo ##04E72-,!7iii'vsiz.1,,I*0.,. .,=-NV:,,,,.7..:NiZt.;.,t,i,;,:',l,:,-,:,,-,::'::-,:::,:::::,,,q,-,,!,;,,S.,;;1,14,,,:;,,,'',,,‘,;,„,:,,,,;,:: : :,•,,:;„•,;,,•,,,,
<br /> PROJECT SITE ADDRESS: kl-iti?) batIA„.(Yt,DorPROPERTYTAiNt'likr:if0741)"10,'
<br /> ' LEGAL for new construction: Shod Pladsubeitilsiori 01 N . (attach r,otiy of long legal description)
<br /> .....)
<br /> ,§,.9.',T,';::::',,',':j,k„..,4:31X'Ab.$1,,...:-...-,t--,1,-,-,-z.:•if',,‘.•.-_-. 44,114 raliaie4i— ifkli4:11-irkootii--tc,--‘4iN6 .<.;,N,,-A...1,N,„..,..v..w.m..0e-.•,-',F*,--2...v..,---..-K-.-.7t,''..!.:1Aaii',',.:,...,.I.,
<br /> ....-...4,4.....m,v,14.0n..........4',,, ,,„4,y,091A,Aw,...-innrimflimk.i...at,i!
<br /> OVVNER f4ANIE:30„,ctiat.›.4.,„Vt rx,,t_ .4r. 41,41/ 30,,N,v8:4-kitTN,AME(if Commercial);
<br /> OWNER MAILING ADDRESS: errnsEr
<br /> CITY STATE Zip
<br /> . OWNER PHONE: N'••\.qie-• 9 5,0 . 4 Oa IOVVNER'EIKAIL:
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<br /> CONTRACTOR NAME: Brennan Heating .. .
<br /> CONTRACTOR ADDRESS: STREET 4601 S 134th pi
<br /> cny-Seattle .. Wa ztp 98168
<br /> t . . .
<br /> CONTRACTOR Rff'3NE: 206-248-7900 [CONTRACTOR EMAIL:JailBre@brehtlartheating.torn
<br /> ' CONTRACTOR LICENSE#1REDUIRED):. BRENNHA871Ft9 !ITY OF EVERETTEIUSINESS-UCENsE fr(REctUIRED)• 028230
<br /> PRIMMY CONTACT: CI-OWNER pit CONTRACTOR ID OTHER(Pleas0:.$004TY)
<br /> _ .. . .
<br /> CONTACT NAME:- -CONTACT PHONE:206248-7900-
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<br /> Jaime How CONTACT EMAIL: 4aintieftbrennanheatitig.corn
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<br /> Existing Use of Building: - ,Contract Price of INorki.$
<br /> Flia, -**-
<br /> , .
<br /> . c 26 .
<br /> Proposed Use of Building: -Heat Source: -as- CIElectrir"......0ther
<br /> . - ,..,
<br /> Building Type: 0 SFil-Detached OSPR-Attached ,1313uplex CiNtuiti-Farnily4 of Units: EICOrnmercial Dindustrlal
<br /> Type..0 Projed: r:INeW E3Adclition CIRetnedel CiRepair OT.I. E3sign C1Sprinkler 1:10ernoittion, CIChange'Of .ISt)
<br /> DESCRIPTION OF WORK: 4-1
<br /> ".) a....•
<br /> AssociATEasuiLpiNo PERNIIT#(if applicable):
<br /> :$114„,t':l'1:14.:14: 4”. ti!,-4APALIM-tIONW: ci1 -1Wki,04-4!, ,,:: ‘;,jottti*iliNtit'FigiCM.f.i;Oitt4t040.tti.-,z'..P.:i,$;;:i,::!:r. -,,-
<br /> Tyne of Project: New Addn Alteration Repair 'type ot Project: New Aden Alteration Repair
<br /> #0f #a #et
<br /> List of FiXttirtis List a f Fixtures List of Fixtures List et Fikturvis
<br /> Fixtures ' Fixtures Fixtures ' Fixtures
<br /> NC-Air Handling Units - Het Pump ' 'Toilet . . .Batitflow.Prettenter(Instils Bldg)
<br /> f ' , '
<br /> Forced Air SYSterY5, ' UnitHeiOr ' ',Bathtub Urinal
<br /> Gas Piping Boiler 'Levalibey/Wash Besia) Drinking Fountain
<br /> , I Water Heater Refrigeration Shower -FliiiorDr-tairt
<br /> Gas Fireplace Wood StoveKitchen Sink&DisPedel ------ ' Grease Trap
<br /> `Gas Range , Ducting Dishwasher - Roof Drains
<br /> Clothes Dryer Hookups Other: .ClotheaWasher Medical Gas
<br /> Range Hood -, Water Hooter ' Other:
<br /> ..... .. ,
<br /> ExhauM Fan Sink(Seivice/BeriMbpiettit Other::
<br /> ,0014Kti-EkfiiitilOOR.04$0310/CSY-ittEM';,.
<br /> ,.. „
<br /> -Cherni)al or Water, I No„of Heads
<br /> ACKNOKEDGEMENT:I hove revielverithis rippikatiou eneceafino VW MforrneUerreeniainee hervitrie eveene comea Wets densporsuentiattitapeurritreest sore*with
<br /> current Worst,stet&and keel tem TheOreille)c tete PerolltOnilt Pothentet 0PPreved weNt end he 04vtation$ihesofrcert t'osidatiaos•friutt thvi be'eutilorkoctio twftinfl from.the
<br /> SuildirKt 0'I + before being outhodzint under wry cirourastanot.itaithe earter.,or I am authorized by the°Wrier Of th14,PrOWW:10 pert:erre the itear tore:tech app! on is-mode,
<br /> , end 1,,,,,, ,,, h the State Con/meters Lew itt27 ROW and 2.96,200A WAd,
<br /> City of EVarell 011ialet tise,Oely
<br /> I1' 1
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<br /> .., - . , PERM!, (19 lb W 0 4-4' '4;/°'
<br /> Oweituthorlzed Agent Signature Date '(iievised /2312.0161
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