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BUILDING/MECHANICAL <br /> PER#PLUMtfIT 3API1NGLIDATIO#SIGN.!SPR N&CLER/DEIVIOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 445-27X887 i(E)everettepsOevere ta.gov j w everetrwa.goviperrn is j <br /> (Blue or Black Ink Only Please) PROJECT Bin IIMIPORIVIATION 1 <br /> PROJECT SITE ADDRESS: . 6 . <br /> tr ,AJE vi N+ . ' copy 9 9 ) <br /> LEGAL for pew construGtitzn. Short Pta#IsuEadjvision t�"".. of tory"to al description) <br /> a <br /> CONTACT INFORMATION <br /> OWNER NAME: #, <br /> �t/A ..az�. rc)�„P TENANT NAME(if Ccsmfnerciai) ,/, _.. <br /> OWNER MAILING ADDRESS.. STREET 7 74 W <br /> on-i .eV0Z-6-TT .... STATE. '�,� , ZIP /1q, 62 <br /> OWNER PHONEf. i-,/'. 1,/,,ct`��/r'`JG C.,ja/. ,c J< i <br /> 1 OWNEREMAIL; 1 <br /> CONTRACTOR NAME <br /> CONTRACTOR ADDRESS: sTREET <br /> CITY STATE: ZIP <br /> NTRACTOR PHONE: CONTRA,CTOR EMAIL; <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS UOENSE#(REQUIREP) <br /> PRIMARY CONTACT; ❑OWNER ©CONTRACTOR Ci OTHER(Please Specify) AjeCili rr. <br /> CONTACT NAME: + +as z Fz '/\/J iCkeviee,ONTACT PHONE; r '" ` C <br /> CONTACT EMAIL: Al 72 c6,ereityAl <br /> BUILDING PERMIT APPLICATION <br /> Building: .P C ? PA 1'O, R1 <br /> ExistingUse of �� c�rr#r�ct:$rice of Work;$: _ t� <br /> Proposed Use:of Building: 0 ec.4e Heat Source: ( Gas DElectric L70ther_. <br /> Building Type: DSFF-Detached :ISM-Attached ❑DuplexDMu1ti-Family$of Units: 0Commerclal 0Industrial <br /> Type ofProlect; 61 <br /> ew ©Addition. [Remodel. [Repair ©T.I. 0Sign DSprinlder I Deptdiition Ochange of Use <br /> DESORIPTION I WORK: Review and upgrade-built without permit-existing deck, and existing roof over patio <br /> in order to receive building permit. <br /> • <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANiCAL PERMITAPPLICATION AI/A PLUMBING PERMIT APPLICATION N fik <br /> Type of Project New Adds Alteration ,Repair Type of Project; New _Atkin _Alteration Alteration Repair <br /> Fixtures List of Fixtures Fixtures List-of Fixtures Fixtures List of Filrttires F7Xt*of <br /> es List Of Fixtures <br /> A/C—Air Handling Units Heat Pomp. , Toilet._. . Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory°(Wash Basin) Drinking;Fountarn <br /> Water Heater Refrigeration Shower Floor Drain[ <br /> Gas Fireplace tWood Stove, KLtchen Sink&Disposal Grease Trap <br /> Gas Range Dusting: DishWasher Roof Drains <br /> Clothes Dryer Hooku Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(ServicelSarlMopleto.) Other <br /> SPRINKLER I SUPPRESSION SYSTEM <br /> Chemical or Water I , No,or Heads - <br /> ACENOWLEDGEMENT'l have reviewed this application and confirm€he.rf'iforn)atfon contained herein istrue and correct.Work done pursuant to this permit must comply with <br /> current federal,state,and iaktk TO granting fa 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 circumstancei arn:the owner,0rl.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 1827 ROW and 29620A WAC. <br /> City of Everett Official Use Only' <br /> PERMIT#' <br /> /C3it .2 / 01 1 ( 0 - 00 (v <br /> 0ulrr}eu/A d onized Agent Signature Date (ReviSed 9%231201.E) <br />