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PER ''IT APPUUCATfO,OPP' . <br /> BUILDIA MECHANICAL I PLUM ELI!NG /SIGN PRONKLER I DEMOLITION <br /> 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 /> (;lace on Mack Ink Only Please) P ,OJIECT SITE 11,,,F:; MATII4 <br /> 4 PROJECT SITE ADDRESS: . 303 3 f""'" A jam'. VI/ PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. ' (attach copy of long legal description) <br /> CONTACT INFORMATIOI,_ <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAiL: <br /> ,.,i CONTRACTOR NAME: f<jZ r /,`f ' =- t.,i-ice i" <br /> CONTRACTOR ADDRESS: STREET f CC) ,F, /1 0 s5,11—Ct�,I r%k/ iq like_ <br /> ;r� <br /> CITY f_l/ r3 5;.i7✓l-` STATE try}`;='' ZIP ;`�F ( <br /> CONTRACTOR PHONE: r �+ CONTRACTOR EMAIL: <br /> .x'CONTRACTOR LICENSE#(REQUIRED): f ,)Ls F P + ij 7 P 44'CITY OF EVERETT BUSINESS LICENSE#(REQUI D): . ,1 1 A <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: , 5-3 i - .I o' 1 <br /> �, <br /> �/ _J j Si✓di,/ 06 b'il, CONTACT EMAIL: 61 ( d',> k, ..d t / I, /3 <br /> P � 9( � sr'" d 9 f r L: <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ I.4. zvo <br /> Proposed Use of Building: Heat Source: DGas DElectric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial <br /> Type of Project: El New DAddition DRemodel DRepair DT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: - ; <br /> ..+.l'f'I tic !F'$'... , L..td 7 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): C) no-- <br /> V l <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 #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,•' Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Neater Bathtub Urinal �,. <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking FAuflain <br /> Water Heater Refrigeration Shower Floor Diain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal --'Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> 1 Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPR1NHLE T4UpPRESSION SYSTEM <br /> q i' <br /> Chemical or Watery I No. of Heads i. <br /> ACKNOWLEDGEMENT:I have viev d this application and confirm the informatio contained herein is true and correct.Work done pursuant to this permit must comply with <br /> current federa_l,_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 /> ; , 1 #i <br /> PERMIT . 1 \.— CieG <br /> Owner/Authorized Agent Signature Date ( i- <br /> (Revised 9/23/2016) <br /> (COL <br />