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' Viii PERMIT APPLICATIOI <br /> al <br /> BUILDINGGMECHANICAL i PLUMBING /SIGN/p <br /> RINKLER I DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (BI ?ute. i Black tn>Ic Ontiy Pi ease] PL O.J� OT:Sfi1 N0.0:1 $ ' 1104. .. :_ <br /> 20TA19RS'S. • .. . !SCOT -TlaT�` IF' •13 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> :..,r. . .,, .. ..._ . + ► ' 1 A' N. <br /> OWNER NAME:MS F— a T;farad Fmk titm L p TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET t o 0 riF7-14 AVE sTE 4000 <br /> CITY SS A-1'11„,,„ _ STATE A pN.. ZIEq I;1 o j <br /> OWNER PHONE z of ? 5 z 6 <br /> OWNER EMAIL <br /> CONTRACTOR NAME: 'Sul COV417 t ' V,EA S I t.t.,, <br /> CONTRACTOR ADDRESS: STREET qZ9.0 Ai 6141NOE/. , ty.O .'rE p <br /> CITY 6A , i ti STATE ib ziik p�y J-7/c/ <br /> CONTRACTOR PHONE: Zo f..g 5,3 -0155CONTRACTOR EMAIL: OFF,J ce @ aG4.. 116_60,41 <br /> CONTRACTOR LICENSE#(REQUIRED}T i )t i \.4l, 6 CiTY OF EVERETT BUSINESS LICENSE#(REQUIRED) 5 z.-5 i 9 <br /> PRIMARY CONTACT: ❑OWNER IONTRACTOR D OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: Z 0 l —e6,5 7.._0 0,` . <br /> $4 tp-1,.N CONTACT EMAIL: psool e <br /> ,. BUILDING INFORMATION . " <br /> Existing Use of Building: t4,.r/—7.7,941 ib q }Contract Price ofOork:$ /6/Z g <br /> Proposed Use of Building: jUL•T! -TAM l Heat Source: OGas I3lectric DOther <br /> BUILDING USE: OSFR ❑Townhouse- 0-Duplex DADU- Multi-Fancily-#Units:Units:5s i ❑.Commercial ❑Accessory Structure <br /> Type of Project: ONew ❑Addition 9emodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change„of Use <br /> DESCRIPTION OF WORK: 61,.,413,440vFt,,ti I �C)I' I ��', #1` 12 o J p t <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N <br /> .. " MEECHANIICAL PERMIT APPLICATION PLUMBING.PERMIT APPLUC,ATION <br /> Fixture Fixture <br /> Fixture Fixtureof Fixtures : List of Fixtures List of Fixtures List of Fixtures <br /> Count count , Count Count <br /> NC—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 /> C�l�o`thesDryer Heat Pump&Dactless •Ditt1v�dtt1er Sink-Residei3tiai�(kitcheni�bath;lar) <br /> t iiiti§ysfetil(kfie$t ' is r itiffetf ilfhtfild Pallet k-Utility,liiii'idffy,ttrop. <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater - Interceptor-Grease- Waste/Water,Piping.Repair <br /> Exhaust Hood(Residential) Wood Stove interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heatet <br /> SPRINKLER)SUPPRESSIION SYSTElItt Sewage Ejector or Sump Pump Other <br /> 7111Xlt r 3 m'presSIO t:$ystem .Stf. ea J = <br /> Chemical Suppression System I No.of Heads. v <br /> r, <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.lam the owner,or I am authorized by the owner of this property to perform the work fowhich application is made, <br /> and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. F <br /> City of Everett Official Use Only <br /> PERMIT# •; <br /> . //70•° ' --- 2-0 01- n it <br /> Owner/Auth ed Agent Signature ate (R'evi3erf,0f1 <br />