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08/08/2018 12 . 30 #3591 P. 001/001 <br /> • PERMIT APPLICATION. <br /> � BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> +� 1 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€teverettwa.gov I www.everettwe.gov/permits <br /> (Blue olr;Mack Irk Only Please) PROJECT SITE INFORMATION. <br /> PROJECT SITE ADDRESS: 1g04 HEWITT AVE PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CT INF ORMATIQ <br /> OWNER NAME: �\r-%16 C'-E-dS ?d`C /TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET %` <br /> CITY STATE ZIP <br /> M <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: EYLANDER SALES &SERVICE <br /> • <br /> CONTRACTOR ADDRESS: STREET 3601 EVERETT AVE <br /> ciTY EVERETT STATE WA zip 98201 <br /> CONTRACTOR PHONE: 425.259.2161 _CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): AN <br /> EYLSSO42K2 CITY OF EVERETT'BUSINESS LICENSE#(REQUIRED): 016363 <br /> PRIMARY CONTACT: CI OWNER ,I CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.231.2275 <br /> JOHN DA CONTACT CONTACT EMAIL: >" <br /> .•;BUJLDIN ':P <br /> © E - <br /> N` <br /> RMIT-APPLICATIO . '' <br /> Eiosting Use of Building:PEOPLE _ _ Contract Price of Wo :$2000 ' <br /> Proposed Use of Buikiini:APARTMENTS Heat Source: { Gas ❑Electri ❑Other <br /> Building Type: OSFR-Detached CSFR-Attached ODu_piex LiMulti-Family-#of Units: \ _ - ❑Commercial ClIndustrial <br /> Type of Project: ❑New ❑Addition IaRemodel 0Repair DTI. ❑sign OSprinkler In Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> REROUTE INCOMING GAS IN BASEMENT <br /> ASSOCIATED BUILDING PERMIT#0 applicable): E uecinI -cAL C14F,(*/ /I /J'J'ej <br /> MECHANICAL PERMIT APPUCAviloN '.' `- PLUMRiNtt P'eRMIT APPLICATION <br /> Type of Project: _New Addn _Alteration _Ra it <br /> pa Type of Project; New _Addn _Alteration Regalr <br /> #of tiO/ — #Of <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures List of Fixtures <br /> Fixtures <br /> NC-Air Handling Units Heat Pump Toilet 8ackflow Preventer(Inside Bids) <br /> Forced Air Systems Unit Heater W <br /> Bathtub Urinal <br /> Gas Piping — Boiler Lavatory(Wash Basin) Drinkin Fountain <br /> Water Heater Refrigeration _ Shower Floor Drain <br /> Gas Fireplace -• Wood Stove 'Kitchen Sink$ Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: _Clothes Washer Medical Gas <br /> Ran Hood Water Heater M- <br /> Rang!! Other. - <br /> EsQtaust Fan Sink(Service/Bar/Mop/etc) Other. <br /> SPRINICLIR'I'E.UPPRESSION S1( M;: <br /> ��Chemical or Water 1No.of Heads _ <br /> t <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained heroin is true end 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.l am the owner,or l am authorized by the owner or this property to perform the work for which application is made, <br /> and l comply the State Contractors Law 78.27 RCW and 2e8.200A WAC. <br /> City of Everett Official Use Only <br /> 01//i <br /> PERMI ;' 0,rr; —62-`� -/- <br /> Ow `•r1A thorized Agent Signature (Revised 923rd016) � <br /> 3ie1 - /0 - /w <br />