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• <br /> PERMIT APPLI <br /> BUILDING / MECHANICAL/ PLUMBIN e /SIGN / —RINKLER/ DEMOLITION <br /> E V E R E T T CITY OF EVERETT PER 1IT SERV• S <br /> 3200 CEDAR STREET,EVER , A 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1912 VERETT AVE t gtE2E7"7 WA 9e2e1 PROPERTY TAX#: v064506 2800 Liao <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: ZARIABEE I+01-01iJGS LLC_ TENANT BUSINESS NAME Commercial : STRtIGTu/ZE-p <br /> ( > comm dnJlGA7JaNS <br /> OWNER MAILING ADDRESS: STREET 81/og All ST, s E <br /> CITY SAJO/4O,t/7A 16/7 STATE WA ZIP M290 <br /> OWNER PHONE: 4'25 59.3 4'95'6 OWNER EMAIL: c1064;1• civee gas ,,,c�}-cirGd . L0� <br /> CONTRACTOR NAME: HlEq-ri-/ NoR711bt/657 <br /> CONTRACTOR ADDRESS: STREET 27/ /0Lir/i S7- G7- S. Bp <br /> CITY 1'AK6W00,0 STATE WA ZIP 78�/7 7 <br /> CONTRACTOR PHONE: 26-3 A/95 709'l CONTRACTOR EMAIL: bbroSllAi(a kaA inaP-1-t1 Was4.COM <br /> CONTRACTOR LICENSE#(REQUIRED): /IEA7x//v79e1� t= CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Lilo'7 <br /> PRIMARY CONTACT: 0 OWNER I CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: l/ CONTACT PHONE: 253 y95 70c <br /> g 11 <br /> BRIAN 8 R&SA/AJ✓ CONTACT EMAIL:6bro.nneleA441 4 „tie <br /> BUILDING INFORMATION <br /> Existing Use of Building: COMM E44.1 A L- Contract Price of Work: $ SOc3°' 0O <br /> Proposed Use of Building: GOMAC2ct.AL Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: Commercial DAccessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.l. Sign OSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: INSTALL CI NON-/Lc-OJHINA-r6.O WALL st6/I rum)/N6 Srkve,70024 <br /> COMM ()to CATlonJS <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 /> 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 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/SUPPRESSION 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 I am authorized by the owner of this property 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 /> PERMIT# 75 —0c6 <br /> 5• 11. 2.022 (� <br /> w prized A re Date (Revised 10/10/2018) <br />