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PERMIT APPLICATION
<br /> BUILDING I.MEHANICAL/ PLUMBING/ SIGN I SPRINKLER I DEMOLITION
<br /> CITY a F i t1 'TPERMITERV
<br /> 3200 CEDAR STREET,.EVERETT , A 94201
<br /> (P)425-297-8810 I FAX;4254514857 l(E)ev r tte s vefett w zv i iwiiiiv'.everattwa.ouviperirtits
<br /> (Blue or.Blackk"
<br /> InOnly-Plea's"e) . ' - PRROJECTES1T EINFORMATION
<br /> ■■
<br /> PEQ.IECT'SITE ACIDI2ES ." le miliiiiii PROPERTY TAX:i ;
<br /> LEGAL for new sons€ructdors; short Pict/subdivision Let Wo,. (attach cony of ions Jogai desorption)
<br /> CON'rACT IN OR ATION
<br /> OWNER NAME: '#t&1 a 4. TENANT NAME(If Commercial);
<br /> OWNER MAILING ADDRESS: sr ser' 6 r A .
<br /> rty k, {, sT; to - 111E 0
<br /> awNER PHaNEr D.(:::. . OWNER EMAIL'
<br /> CONTRACTOR NAME Brennan Heating
<br /> CONTRACTOR ADDRESS: soiasT 4601 S 134th Pi
<br /> cats Seattle sr�, Ws x)p 98168
<br /> CONTRACTOR PHONE; 2016-248- 90 CONTRACTOREMAIL .J infe rrt1faflt8 :lif9. Oft'•.l
<br /> CONTRACTOR LICENSE#(RECIoIREC}. BRENNHA 71 R CITY OF E4 R�BUSINESS LICENSE#(REQUIRESt:026230
<br /> PRIMARY CONTACT: 0OWNER iptCONTRACTOR 0 OTHER(Please SpeeifYi, �.,....
<br /> CONTACT(4AM : CONTACT PHONE: 206-248-7900
<br /> Iaimie How CONTACT EMAIL; J,aitmlie,. br nn 'nheatine.com
<br /> BUILDING,PERMITiAPPLICATION
<br /> Eas(stin Use Or B sildin :: Contract Price of Work;S , ,,
<br /> Proposed Use of Buildirg Hat Source; OGas Pe ectnC OOiher_
<br /> Buttdin,Type: (SFR-D to hed C5FR-Attached ODuplex " CDMuttt Famit i�#of Unifs:_,,„, (Commercial Dlndustriai
<br /> Type of Project. C3New °Addition DRemedel °Repair DT. . °Sign C1 ptinkl r E3Oemotition C]Chan e of Use
<br /> DE CRIPTlON,O:F WORK:
<br /> ' ', ' (4.- ..t._‘‘tk.S.A:".11\,43 -'(-A-4. 1 C-- 11/4-A3
<br /> .4
<br /> t_,\2,.. , ,-- t.„,:x
<br /> ASSOCIATED BUILDING PERMIT#(if ap rlicable);
<br /> MECHANICAL PERMIT'APPLItCATIOlrl PU;11till.BING PERMIT RMI°`APPLICATION
<br /> Type of Project; New Addn Alteration Repair Typo et Praject:., New ,,,, Addn Alteration Aerial*
<br /> • #of #of #4f #ref
<br /> List"of"times List of Firetur°es List Mf Fixtures List of Fixtures
<br /> lxturee Pik-tams F€xtures Pi turns
<br /> C�-Air Handling Units treat,Pump - -Teitet ' atckttow Preventer(Inside BldS)
<br /> Fdreed;Air Systems.; Unit:H ter Bathtub Urinal
<br /> G`8e"Pining ' �Sdiier < .� —Leveler),(Wash Besirt.Y
<br /> t ;t rinktrr Fotafktairts
<br /> Water Heater, 'Refrigeration -- Shower r Drain
<br /> Gas Fireplace Wood ed Sov ' Kitchen Sienk B.Disposal Grease Trap
<br /> P
<br /> Gas _, w.. �..;D.utcting „ _ • Dishw stir " R_ cioiOains
<br /> Clothes:`Dryer,Hookups ' Other: Clothe*•Washer Medical Gas
<br /> Range Hood I Water Heater Other.
<br /> Exhaust Fan Sink{ eruiceISar/Mdi fete) tfrer:
<br /> SPRINKLER 1 SUPPRESSION SYSTE
<br /> Chemical or Water I INo. Of He d
<br /> 'ACKwZWLEDG tvtE T:.I have reviewed this appliication'sad confirm the infomianon. contained heroin's,trite, ant/torr est MI,rk dome parkaent to this permit must comply width
<br /> •o rrent Icor*,slate,andai/ccat law, The grsntiAp rf a permit only orithoriaes approved wank bad no deviations the�refrea Deviations most ftrst be aattloni�d in writing from the
<br /> Cteraing 0 Sclal before being buthordzed under any c€rcutnsterrce,I am the owner;orf am authorized by the owner of this property to perform the work for which application rs made;
<br /> •:ana I e witrt'tha State Contract#rs t,aw 1.8.27 RCM,'end 298,20P.4 WAC..
<br /> City p Everett Official UJse 3itty,
<br /> .., ..,, 1 (b ‘6 I , It tkol,....„,
<br /> 0, tler€Authorized Agent Signature. Date (Reviserf 912312018,1
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