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3600 SMITH AVE 2020-09-04
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3600 SMITH AVE 2020-09-04
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Last modified
9/4/2020 10:27:02 AM
Creation date
9/4/2020 10:26:48 AM
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Address Document
Street Name
SMITH AVE
Street Number
3600
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"OP PEF" <br /> BUILDING I MECHANICAL I PLUM BING /SIGN I SPRINKLE" /DEMOLfl <br /> MIT APPLICATIONiiiaii 1O' <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 I(E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> (=lase or slack Ink Only Please) Prz tJECT SITE 1 FsN <br /> _ <br /> PROJECT SITE ADDRESS: 34,00 SON, � ;t- [PROPERTY TAX It: 567c 4 L.e. Q <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Etk4-.. CT (Lda iJ 1 1- TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3 ?.o ( 5.'YY1 . t'1. 41) -� 6&- k_ 1(.- <br /> CITY 6,3t .trte, STATE Col A- _ ZIP ( 8 id <br /> OWNER PHONE: q23`' Z6-7— 7'7 7 7 OWNER EMAIL: 6T ncc.o ) a e0ext 4, ci o <br /> CONTRACTOR NAME: p/A f e_./C'v-) <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: 6WNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: ti r) 26-CONTACT PHONE: (4-2,5-, � ' 7- 0j C7 8 7 <br /> CONTACT EMAIL: iif . I., s c S e_ Qad et t(1l.l M e ,.t,t1 <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ 10M, <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric/❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: VWCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler 'emolition ❑Change of Use <br /> DESCRIPTION OF WORK: De-Y`1 G .e. e S f- c_ /3t)... <j.kr id-c\-t.,,f'...c_. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn _Alteration Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #°f List of Fixtures #°f List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC-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 1 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 /> `---4City of Everett Official Use Only <br /> _ PERMIT <br /> /(2 <br /> Owner/Aut orized nt Signature Da (Revised 9/23/2016) <br />
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