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477 PERMIT APPLICATII, <br /> BUILDIN. i MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:0 20 <br /> 6r,A �,p,, , �p��� j ROPERTY TAX#: Z 0 H (ot1oocDD <br /> LEGAL for new construction: Short Plat/subdivision �J�I V�1 p �_�! Lot No. (attach copy oflonglegal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: , 4ssLL IIS <br /> TENANT NAME(If Commercial): Fr2f 1 v6. <br /> OWNER MAILING ADDRESS: 1z9R6r2D A4w, I l_v0. <br /> Est-6 fti STATE \AA- ZIP 1 a 2°3 <br /> OWNER PHONE: OWNER� EMAIL: <br /> CONTRACTOR NAME: C iKe_toCAST Z.V(jrl o `` <br /> CONTRACTOR ADDRESS: VA � lL 5 I, <br /> 7,44197,4419t STATE \ ....\ IR ZIP 9 0.1 D <br /> V <br /> CONTRACTOR PHONE: �Q" (aZ I -• ' I CONTRACTOR EMAIL: 1 V 1 L�C4 6art•iti,,,A., —+\ , (L w\ <br /> CONTRACTOR LICENSE#(REQUIRED): Gj w G3e ZL 3 CITY OF EVERETT BUSINESS LICE NSE#(REQUI tED): 0 39.36..-,� <br /> PRIMARY CONTACT: D OWNER ❑''"CONTRACTOR 1510THER (Please Specify)_NL A Aetzt <br /> CONTTACCTnNAMA-K: CONTACT PHONE: 4 Lass - 4 DD <br /> ((\ 1& .A,)WI(� QYIRr.1 ( Nzf kT- )ONTACT EMAIL: (.,10%1 -e.,y I� .t4 )c 2,. ()DI,\ <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: IL- tl b11 Contract Price of Work: $ GO CCX> <br /> (�'� <br /> II <br /> Proposed Use of Building: 0-c-Al Ce t 1j1t Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> )14401011--Ixistc1k- N aq o.c RNA- sVv avito.s4 (AAA lc/ D0/ C iocse w , ►PrC CO LihlCf <br /> i I,tll0. 9r <br /> NVI r-co . ZS, � SF . <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn Alteration Repair Type of Project: _ New Addn _ Alteration Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink& Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink (Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT:/have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,sta -,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official b:f.re being authorized under any circumstance.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, <br /> and l comply wit e State Contractors Law 18.27 RCW and 296.200A WAC. \& <br /> City of Everett Official Use Only <br /> / / JZ) J lf le)PERMIT# I (p0? - 0 q <br />