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01'E". • PERMIT APPLICATIOS <br /> BUILDING / MECHANICAL / PLUMBING /SIGN /SPRINKLER/ 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 /> le <br /> (Ju$:or Flack,IntArtbr Pte so), PROJECT S1Tg tktrORMAT MIL <br /> ROJECT SITE ADDRESS: 32 ( SNo,QE Atte- e 0E2> 9e2cA ROPERTY #� s` <br /> LEGAL for new construction. Short Plat/.subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: .(,p3t{4 /t t /L(..}ItZ- TENANT BUSINESS NAME(Commercial):f <br /> OWNER MAILING ADDRESS: STREET 320/ S(4oe6 .pUE <br /> cn' bVERETT _ ` STATE&A / Zs??€O2—( , <br /> OWNER PHONE: 1-2-5- Z3 e-D S 7 },OWNER EMAIL:bAROhr�-.��C.v(14/-V.c m I SH. 0124 <br /> CONTRACTOR NAME: 64kAst 1 1 fr1C, <br /> CONTRACTOR ADDRESS: STREET 2'ID! 4 CR.IN A. &CAC { itizokL <br /> CITY Ym71.1 bej STATE WA. a_ ZIP gPjp� <br /> CONTRACTOR PHONE 4,-2S-4-7S-&,3%." CONTRACTOR EMAIL: re_�e4(-S ((YIOMeS. '— <br /> CONTRACTOR LICENSE#(REQUIRED): le... e.s t 005 l t1-1 .ITY OF EVERETT BUSINESS UCENSE#(REQUIRED): G.(p 2 hO g <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: . .' _Lr-7gr 43Q <br /> ROOI/lj £A'0-SLy CONTACT EMAIL: re_44earsj 1 o v oe_s. (oN_�,__ <br /> BUILDING INFORMATION <br /> ,Existing Use of Building: 16 i 6 C1 Contract Price of Work: $ 3f Ov. <br /> Proposed Use of guttdtng'. h iI-teat Source'. >eas DEtectrHG DOhec <br /> BUILDING USE:t3FR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Cornrnerciak ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION O WORK: <br /> o ` <br /> mcAPE" ,D.etie K -1,Gr. Pri-rv45 g i-o,0-1 i>,1"-.) LocsC004-As <br /> Ft,/L NF-uJ /1 rMoQ1;L tA,C12-14._ <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> i <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler / Gas Range / Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> / Clothes Dryer Heat Pump&Ductless 1. Dishwasher / Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility, laundry.mop <br /> / ;Exhaust Fans(Residential)1 Commercial Ventilatiotj 1 Floor Drain :i Toilet <br /> Exhaust Hood(Type l) (Not Heat/AC system) Hose Bibb 'Urinal. <br /> Exhaust.Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump / Other:for fKl - <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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'fede>ral,state,.and-local law.The granting'of a,perm iton/y=euthorizes,Rppreved work,and•,no deviations therefrom:Deviations must!tirs€be authorized=in writing from the <br /> Building Official before being authorized under•anycircumstance.I am theowner,or I am author/zed 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 /> 1.7.4. I/ I PERMIT# <br /> Owner/Author Agent Sig u 4Ate (Revised l0/10/2018i <br />