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PE' iJ ATIOAk
<br /> BUILDIN MECHANICAL SIG PRiNKLER I DEMOLITION
<br /> E V E R E T TCITY OF E - - IT SERVICES
<br /> 3200 CEDAR STREET,EVERETT,WA 98201
<br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 i(E)everetteps@everettwa.gov( www.everettwa.gov/permits
<br /> .01010:-;': ''OR ECT SITE I1. .0QR.M TI ` £
<br /> PROJECT SITE ADDRESS: ,Z 05 5e- k _. MO We.% . fri 7 'PROPERTY TAX#: 9-z b S" 113 06 30430
<br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description)
<br /> COHITAAT'INPORMA N
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<br /> OWNER NAME: I-VIGI/V� �U �� TENANT BUSINESS NAME(Commercial): , �t Hr�,,,r�,K,q
<br /> OWNER MAILING ADDRESS: STREET I(/.5003., . ) S 8..
<br /> CITY M t (C STATE ( J 6ZP ZgO
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<br /> OWNER PHONE: ( 3& ((07-IS— OWNER EMAIL: &I Coe &1 t� i,co x
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<br /> CONTRACTOR NAME: : 1 PL , k A,h i vt (Avl
<br /> CONTRACTOR ADDRESS: STREET j6 )-2-1 C�vc -�c$ UJG- f S-rE ZS--q ?,
<br /> cm' ��e r/�I -8[7'�-OU�"1 I RATE ZIP
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<br /> CONTRACTOR PHONE: >335, 3sls 1.t (CONTRACTOR EMAIL: t(6 AttiA,Z 1 4 IV"Aat�pupta , co
<br /> CONTRACTOR LICENSE#(REQUIRED): b kN t ,~ eit 1,Set pp JcITY OF EVERETT BUSINESS LICENSE#(REQUIRED) 57
<br /> PRIMARY CONTACT 7CONNER 0 CONTRACTOR CI OTHER(Please Specify) Pr
<br /> CONTACT NAME: CONTACT PHONE: 6 ..-6 A —( 2 I S—
<br /> o v a4Ar dol ILIAA_
<br /> CONTACT EMAIL: Az 1<-4� meimeio�
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<br /> INFORMATION ,;.�-r, ,..fir-1 -,v ;''' , ;,„, , 1 , '-.-
<br /> Existing Use of Building: C i _ :,%7', f UILD NG Contract Price of W S t.(..aC I
<br /> Proposed Use of Building: C ( Heat Source: as Electric OOther
<br /> BUILDING USE: CISFR OTownhouse ❑Duplex ❑ADU ClMulti-Family-#Units: kort ommercial DAccessory Structure
<br /> Type of Project: ONew DAddition ❑Remodel ORepair WI. OSign ❑Sprinkler DDemolition DChange of Use
<br /> DESCRIPTION OF WORK: Q°A-°-`�
<br /> .}-v\sA-ul t tl p luik,bei
<br /> ASSOCIATED BUILDING PERMIT if -p-licablo 157 CO c`'�) `
<br /> MECHANICAL PERMIT APP UGATIOM " PLUMBING'PERMIT,AppucAtioN
<br /> Fixture tvreurs Fixttue Fixture
<br /> Count List of Fixtures Coru�t List of Fixtures ixtuCounr List of Fixtures Count List of Fixtures
<br /> NC–Air Handling Units Gas Piping $ackfiow Preventer(Inside Bldg) Shower,Tub,or Combo
<br /> Boiler Gas Range Ciethes Washer Sink-Commercial(3-comp,prep,floor)
<br /> Clothes Dryer Heat Pump&Ductless ,Dishwasher i Sink-Residential(kitchen,bath,bar)
<br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop
<br /> ‘ Exhaust Fans(Residential) Commercial Ventila8pr Floor Drain Toilet
<br /> Exhaust Hood(Type 9 (Not Heat/AC system) Hose Bibb Urinal
<br /> Exhaust Hood(Type It) 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 /> ORINKLER I SUPPRESSION-SYSTEM t A Sewage Elector or Sump Pump Other.
<br /> Water Suppression system *No.of{leads ,
<br /> Chemical Suppression System 1 No.of Heads r
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<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.I am the owner,or!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 /> fZ�/ S- `� PTT( \Z - 5
<br /> O e nzed&,Agent g Date (Revised 10/1012018)
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