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2 W CASINO RD 2017 BLDG E 2020-02-20
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2 W CASINO RD 2017 BLDG E 2020-02-20
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Last modified
2/20/2020 8:52:33 AM
Creation date
2/20/2020 8:51:31 AM
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Address Document
Street Name
W CASINO RD
Street Number
2
Tenant Name
BLDG E
Year
2017
Notes
THE BLUFFS
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• 0 <br /> PERMIT APPLICATION <br /> BUILDING 1 MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: Z v�CSF taw (/ Z PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision N (attach copy of long legal description) <br /> q CONTACT IN ATION <br /> OWNER NAME: i 0 5 TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: L (u / <br /> CONTRACTOR ADDRESS: STREETS, i r VJ (' <br /> CITY CLZ' Sul1.�2 STATE ZIP j <br /> CONTRACTOR PHONE: t 25 3' 3 q 3 Z CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): L,Di12 L L CITY OF EVERETT BUSINESS LICENSE#(R Q IRED):O 2 <br /> PRIMARY CONTACT: ❑ OWNER CONTRACTO ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> L/k H 0l2. CONTACT EMAIL: <br /> BUILDING PERMIT APPLICATIO <br /> Existing Use of Building: Contract Price of W k:$ 0 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑-EI ectric —06tIner <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial [Industrial <br /> Type of Project: []New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: �wC-)L� <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> k,-It lel-.' <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: New _Addn _Alteration J,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 Pumper 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 Hoods 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,state,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 before being authorized under any circumstance./am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PE <br /> _'71� IT# <br /> 1(0q <br /> Owner/Authorized Agent Si ure Dat (Revised 5/20/2016) <br />
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