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PERMIT APPLICATION <br /> BUILDING ECHANICAL/PLUMBING/SIGN MPRINKLER f DEMOLITION <br /> E"E R E T T CITY OF EVERETT PERMIT SERVICES_ <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810E FAX425-25T-8857 C(E)everetteps@everetlwa.gov I www.everettwagovfpermits <br /> (lanai orb Ink Only PIeeta+ ) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: I IC3 C) 13 QO Art)u 4 PROPERTY TAX#: : S 3 2— <br /> LEGAL for new construction: Short Platlsubdiv€sion Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: L , .(, --S `�",a y TENANT BUSINESS NAME(Commercial): 1b5 erALES eES7Atau ' <br /> OWNER MAILING ADDRESS: STREET (10 0 AR04ALOA y _ <br /> CFTC' E-tr g STATE IA3t q ZIP c{32c j <br /> OWNER PHONE: q25 "2-5 61- lift jOWNER EMAIL: <br /> CONTRACTOR NAME: Aid. .A, eFJc j ni ,fraE ruF �7�' 'aiL= /V <br /> CONTRACTOR ADDRESS: STREET Po f %( cf. 3 <br /> CITY fE / STATE oA ZIPZe) <br /> CONTRACTOR PHONE: 2.0 3 3j tit 76 3 13 [CONTRACTOR EMAIL: ,Tict3iJ)ir1 rtta► 'Fc • +tug :c.4 ry <br /> CONTRACTOR LICENSE#(REQUIRED):A L..LitrnA F8 L#Q i f CITY OF EVERETT BUSINESS UCENSE#(REQQIRED):d1j43 L, <br /> PRIMARY CONTACT: °OWNER /,[CONTRACTOR CI:OTHER(Please Specify) <br /> CONTACT NAME:7Z---ici yf M feh anti CONTACT PHONE 6,• 7 i• 76 3 7 <br /> CONTACT EMAIL 4:),if me...-icEzrt riree h = CitFr-1 <br /> BUILDING INFORMATION <br /> Existing Case of Building: /.4' -5Tfl-Li"-A''q."- Contract Price of Work:.# 'Ts '. C3f� <br /> Proposed Use of Building: /<774'i4/"1 Heat Source: °Gas ©Electric QOther <br /> BUILDING USE: OSFR °Townhouse DDuplex °ADU OMulti-Family-#Units: .I Gomrnerciai DAccessorry Structure <br /> Type of Project)iNew DAdditlon DRemodel DRepair OT.I. OSign DSprinkler °Demdition DChange of Use <br /> DESCRIPTION OF WORK KrvC- 0 it A/i 61.0f 0$561.6-T erc:ref.' dike-t) 4N() 01i CT S5w/11 <br /> AA P"riff k- M"Cy 1v c,) L�C)e) Air,Ita'7" WET- C'iiE/I1t CI3C.�. FitsZE' <br /> S y y'V1 (n'rb rig 5-f I/>ty c`J/j <br /> ASSOCIATED BUILDING PERMIT#(if applicable): /Cf[,4 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> t7xtrxa ^ List of Fixtures `""` List of Fixtures Fixture Fixture <br /> List of Fixtures List of Fixtures <br /> Count c«aar Caurrt Count <br /> :AlC-Air Handling Units Gas tiling Backflow Preventer(Inside Bldg) Shower.Tub,or Combo <br /> ;Boiler Gas Range Clothes Washer Sink-Commercial(3-c omp,prep,ffoor) <br /> ;Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> ;Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residentialr 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 WastelWater Piping Repair <br /> Exhaust Hood(Residential) Wood Stove lnterceplar Sand/Ofl Water Service(behind meter) <br /> Forced Air Systems Other. Medical Gas Water Valves or Fixtures <br /> ;Gas FiiepfacellnsertfLog Roof Drains Water Heater <br /> SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System I 10 1No.of Heads <br /> ACKNY314+LEDGEMENT.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 vatting from the <br /> Building Official before being authorized under any circumstance.I am the owner,or f am authorized by the owner of this properly 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 /> FERMI-Tk^ ^) Dq) <br /> Eirrrre , prized .,,- stgnahr►e Date (Revised 10/10E2018) <br /> jL <br />