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1� <br /> MINE PERMIT APPLICATIOA <br /> BUILDINOMECHANICAL I PLUMBING I SIGPRINKLER i DEWJLMON <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 t FAX 425-257-8857 1(E)�rettep via gov I iv.evereftwa_gov�/permits <br /> S`iP.Sri3c'Sv TON � q z��...... <br /> (Blue or Black Ink Only Pee) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 315 E ectJt nv Rd it_-. j) PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT BUSINESS NAME(Commercial): P osi- 0 )010i le <br /> OWNER MAILING ADDRESS: STREET ??I cj L C,cvS i no 24 S4e D _ <br /> CITY e'vece4- STATE w A.. LP C' QG5 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: R B — Btcy) Sery ices <br /> CONTRACTOR ADDRESS: SIItteT 10 212 "BD-The 1 l Eve i-'-wU F2_3 7 <br /> CITY I'V\ 1, \ oree K STATE V J.4 Z,a 9 O 11 <br /> CONTRACTOR PHONE: 5 Z 3. 330 , 81 b o CONTRACTOR EMAIL: hiritsignse ✓i S n. Cd rY1 <br /> CONTRACTOR LICENSE#(REQUIRED): �C3TS1S,A -1goPG CITY OF EVERETT BUSINESS LICENSE ii(REQUIRED): 0 5510 Li <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Ilv lL CONTACT PHONE: zc� , 33 0 3 I lv v <br /> 1 CONTACT EMAIL: b6+s 13n,s @ m s 1\• Corn <br /> BUILDING INFORMATION <br /> Existing Use of Building: CO rnrnei-C let I Contract Price of Work:$ COCO <br /> Proposed Use of Building: f`1 r-C Heat Source: DGas ❑Electric DOther <br /> BUILDING USE QSFR [Townhouse L[iDuplex [ADU [Multi-Family-#Units: cgCommercial [Accessory Structure <br /> Type of Project QNew ❑Addition ❑Rernodel [Repair DT_I_ 15CSign DSprinkler []Demolition [Change of Use <br /> DESCRIPTION OF WORK: <br /> In31u1\ Ci> LED 3\cjn 61.5p\c&y (., stc r at re v 0,,..-)Y1ecc by <br /> v1e- -FenR <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Rxture <br /> List of Fixtures Frame List of Fixtures Fixture List of Fixtures List of Fixtures <br /> Count c Count Count <br /> A/C-Air Handling Units Gas Piping SadcBow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,fioor) <br /> Clothes Dryer Heat Pump&Ductiess Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior 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 Heater <br /> SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System INo.of Heads <br /> Chemical Suppression System jNo_of Heads <br /> ACKNOWLEDGEMENT f have reviewed this appfication and confirm the information oentened herein is true and corm_Work done pursuant to this p must comply with <br /> wrest fedwat state,anxi local fa.._The granting of a permitor»p authorizes apt wmit and no deviations Orsria.bn.s mresi fat be anUtcrized it writing from the <br /> Buickng Official before tom}at.h rued undera.^,y cir;.m: nce.tam/he:seer,art an wit°Med by the owner of v'1a property to pe,ff»..t the warts for reach a m is mode, <br /> and I tom}with the State Corers Law 1827 RC'W 2952824 WAC_ <br /> Cffy of&t r tt�'Use Only <br /> ownede 5;it,t_-oe bate (R t(l tt ni8) - 6(1)2----' <br />