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III II II PERMIT APPLICATI '' I <br /> BUILDINW MECHANICAL/PLUMBING I SIGN P PRINKLER/ DEMOLITION <br /> E V E R E T TCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (BluexorB1au Ink OnTiPie1se). PROJECT SITE INF0RMA O1 ... MN,._; Nt.... .s ..,.r. E. n',w.._ P.. ,., <br /> PROJECT SITE ADDRESS: D..500 34 - CvC�� l.)� (kw_4(.3 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> . , _. ..... ,F `,.,_ .. . a..._ ..r-CONi9OtINF0RMATIOtje .�.' ,,... vF„ �. .`s<'. _ . a F <br /> q + <br /> SAR <br /> OWNER NAME:GPAC.0TENANT BUSINESS NAME(Commer lag: 1)3C.,,-S794.- A_CZ(- Cy <br /> OWNER MAILING ADDRESS: STREET 0.b2-- C)Q -05 OC"7 / <br /> CITY Goe'cl-C. -c °k.%,3-(3 <br /> STATE Lj f- ZIP ` J <br /> • <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: <br /> • <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR cykOTHER(Please Specify) `C .a--'T- <br /> CONTACT NAME: CONTACT PHONE: LA c ,, v `VA <br /> 3GC`c W CONTACT EMAIL: G �QVk -r -(�ZN�C�Z <br /> a�.� �y UJ S ��'-1�'��-C'�v`s� <br /> ._.,�,n x.,_ .°,. . r ._> 'rBUIl..OIRC 1,N1ORMAI��Olw,,V . , ., <br /> Existing Use of Building: c T.—C_e . Contract Price of Work:$ \2 <br /> Proposed Use of Building: C��rk'C-G Heat Source:. ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse El Duplex ❑ADU ❑Multi-Family-#Units: "ommercial DAccessory Structure <br /> Type of Project: ❑New DAddition El Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> rC- <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> ;s *ECHANICAL'PERMIT APPLICATION,, ._... LUMBIN #ERMIT APPLICATIOM51,' ., ,M. . I,,: „ <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> 'S PRIN KLEit esurOititstotoyittsCitg Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.of Heads. <br /> ACKNOWLEDGEMENT.I 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.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 1b (1-61--k.5 • <br /> PE #C=-0 3 <br /> Owner/Au on gen gnature Dae (Revised 4/15/2019) �/ <br />