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3315 SEAWAY BLVD 2020-06-05
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3315 SEAWAY BLVD 2020-06-05
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Last modified
6/5/2020 3:23:08 PM
Creation date
6/5/2020 3:18:13 PM
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Address Document
Street Name
SEAWAY BLVD
Street Number
3315
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SP' PERMIT APPLICATION■ <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> vi 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 I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 33 15- SeO�Loc,../ BI vCI A PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Copper- Cree IC FLAi•Al0(tvcA S- .ru is .e5 <br /> CONTRACTOR ADDRESS: STREET /e//4/3 /0 54.- A vie_ /V <br /> CITY K j r LL ick a STATE 6,3/4 ZIP ? o3 44 <br /> CONTRACTOR PHONE: L./a5-a3T- /O 5 1 CONTRACTOR EMAIL: Cofferr c e L r1/4_4G\1 ®d 1,...t <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) . <br /> CONT CT NAME: CONTACT PHONE: 7,2,5"-_23`2 73�s <br /> CreCi CONTACT EMAIL: o <br /> I`JI, 11 -�- c p <br /> per-c'reeVQ r-ca;t_Co <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ 3c c?-62-- <br /> Proposed <br /> 6 <br /> Proposed Use of Building: Heat Source: ❑Gas 0 Electric ❑Other <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. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> (/I)0d--r—ei r`U LA-1%3 d I 1.ver.. \0 t rQ9 p <br /> ASSOCIATED BUILDING PERMIT#(if applicable): V7101)0.1.03� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of #of List of Fixtures List of Fixtures #of List of Fixtures #°f 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 /> Chemical or Water I 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 be• - •emg-uthorized 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 comp) , the State s' ractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> Ar PERMIT <br /> • illcir ...ii /— 0 —11 V \ 1'—'00 <br /> Own MirigffrIrd Age'rignature Date (Revised 9/23/2016) <br />
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