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3317 WETMORE AVE A&B 2020-05-28
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3317 WETMORE AVE A&B 2020-05-28
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Last modified
5/28/2020 1:27:48 PM
Creation date
5/21/2020 10:02:06 AM
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Address Document
Street Name
WETMORE AVE
Street Number
3317
Tenant Name
A&B
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P <br /> IT <br /> 1;MECHANICAL/PLL BING/SIGNI"I _� <br /> liiii-fijim" BUILDIN b'PRINKLER I DEMOLITION <br /> 3200CRVICES <br /> 1 CEDAR STREET,EVERETT,TY OF EVERETT WAT WA 98201 o3i 4.wevn 6 gve, Una /141B <br /> (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:3311. ../',',,:i W ECMOt2Q 1'J ctg)20 y PROPERTY TAX#: 004 3 6911,Zoo 421615 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description)v- <br /> CONTACT INFORMATION <br /> OWNER NAME: IvOSRIVT tYVA;rui-w TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS:\IiSTREET AA-3 , S.1-,S 4 5 <br /> CITY Rt<cA' J 0 STATE (AJA-A- ZIP \, 3 0 3 3 <br /> OWNER PHONE: 20 6 2.2-1 oc-4 OWNER EMAIL: g lOj(R f..--v- 0 ,1AA t L•e 66 An <br /> CONTRACTOR NAME: d lAJ n _ <br /> CONTRACTOR ADDRESS: STREET Ac Pse' V( <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE# EQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: ,E': CONTACT PHONE: 6 z Il 016 J zi <br /> N1 <br /> \ jT 1� M ty CONTACT EMAIL: f (Moe-,6AT o ,( I V r( 2 V <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ t 86,000. <br /> Proposed Use of Building: 2s I.( (A,L. U S Heat Source: ❑Gas t�Electric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached Duplex ❑Multi-Family-#of Units: ❑Commercial 0 Industrial <br /> Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.I. DSign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Duew (2) p S(WEAr"T'( AL Oil.)4 -Rif/au C 2•`$ �k - W/ <br /> Z 6- �CW-rI L) OK) O-0 \➢EST X10 G. d t- ei2 a jrce <br /> C fA1t(Z/Ni- - )/2 5Tor2 13 6 t2c , 25- I3Tt4 -f41TGl4E37�S <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: V/New _ Addn _Alteration Repair Type of Project: VNew 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 4 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater 14. Bathtub Urinal <br /> Gas Piping Boiler 6 14r Lavatory(Wash Basin) Drinking Fountain <br /> 2 Water Heater Refrigeration Shower((aA ii-1 Tot?) Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting ' Dishwasher Roof Drains <br /> Clothes Dryer HookupsOther: FPL. e Clothes Washer Medical Gas <br /> 2 Range Hood ate-c, Water Heater Other: <br /> 1 p Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water ' 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.I am 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 /> PERUT <br /> \ 5---L9—2-C4'3- 011,06-- sort <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) CI <br /> D <br />
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