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1705 WETMORE AVE 2022-05-10
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1705 WETMORE AVE 2022-05-10
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Last modified
5/10/2022 8:31:57 AM
Creation date
5/10/2022 8:30:47 AM
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Address Document
Street Name
WETMORE AVE
Street Number
1705
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L4 ! PERMIT APPLICAT ICS <br /> F,UILDINO I MECHANICAL/ PLUMBING I SIGN / SPRINKLER I DEMOLITION <br /> 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 /> (Moe or Black fink ynIy Please) P/R�OJECT SJIM Or�IFO 3TJ ?DO99 <br /> PROJECT SITE ADDRESS: 1 !(,' �i - I{�j iiicl t -t. : PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ©OMT1 T II CFO,'MATION <br /> OWNER NAME: 4(b ,C C- TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET pO goy_ vi(.11 <br /> CITY Ki,S i4t4 STATE W ZIP cge3 <br /> ,..,, <br /> OWNER PHONE: `(2,5AAN 7i37 ro OWNER EMAIL i K i-rt/!n - /12f3 i , C-Olyl <br /> CONTRACTOR NAME: 614 <br /> j f /i c 1 9rho S I-L-- <br /> CONTRACTOR ADDRESS: STREET Q Bo Jc (` <br /> CITY I.r Iaa-N STATE ZIP f f <br /> CONTRACTOR PHONE: 142.-91-6fq -5.35�j� CONTRACTOR EMAIL: "f� Pe rrifitiCC� 9`'tigi/ c <br /> CONTRACTOR LICENSE#(REQUIRED.: (ivoty2\f oe! 93 CITY OF EVERETT BUSINESS LICENSE#(REQUIRE ): <br /> PRIMARY CONTACT: ❑ OWNER El CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: /Vl N�`�`.� �I-�'ti CONTACT PHONE: b-��� - 3'� ' <br /> CONTACT EMAIL: .Sh _peri/ ,a,TP1 I/, C b on <br /> ;BUILDING INFORMATION <br /> Existing Use of Building: '5 Fe- Contract Price ofof�Work: $ <br /> Proposed Use of Building: Heat Source: LJ"Gas CI Electric ❑Other <br /> BUILDING USE: 126FR ❑Townhouse ❑Duplex ❑ADU OMulti-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: __4_ <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <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 /> 1, 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(Residential) / Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) <br /> Exhaust Hood(Type II) <br /> (Not Heat/AC system) Hose Bibb Urinal <br /> / 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 �j Roof Drains Water Heater <br /> SPRINKLER/SUPPRE SION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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 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.I am the owner,or l am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with t e State Contractors aw 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> i ppm.7. <br /> l 1//d <br /> l i ffri ,_._0 1 . lA. — J <br /> Owner/Authorized gent Signature Date (Revised 4/15/2019 <br /> ) r 7-- <br />
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