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PERMIT APPLICATION — <br />BUILDING, MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />EVERETT 32DI CEDAR STRTY OF EE pEEVERETT, WA 8881 <br />WASHINGTON (P)425-25T-MlO 1 FAX 425-257-8857 1(E)emanybe s®everedare <br />(Blau air Mack ink On PIUYn <br />P Bovl www.everettrra.govlpelmds <br />PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS:518 Madison sf PROPERTY TAX #: 00393300001501 <br />LEGAL krn nswcllon; $hoRPIeVBubtllvisi0n Lo1Na_ (Btlacbcopypt long legal Rescrimon) <br />CONTACT INFORMATION - <br />OWNER NAME: City Of Everett TENANT BUSINESS NAME (Commercial) <br />OWNER MAILINOADDRESS: smaa4802 E MUkllteo SIM <br />cn Everett fa WA aP 98203 <br />OWNER PHONE: 4253284594 <br />OWNER EMAIL: Dshoughnftsy@everettwa.gov <br />9 YQeverettwa.gav <br />CONTRACTOR NAME: City of Everett <br />CONTRACTOR ADDRESS: smear <br />oT, STATE ZIP <br />CONTRACTOR PHONE: <br />1CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE#(REQUIRED): C OP EVERETT SMIRESS LICENSE NREQU1RED): <br />PRIMAKTCONTAOT: DOWNER ❑CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Dean Shaughnessy <br />CONTACT PH ONE: 4253284594 <br />CONTACT EMAIL: Ds haughnessyQeverettwa.gov <br />BUILDING INFORMATION <br />Existing Use of Building, Residence <br />COOtmct Price pf Wogc" if Z 1 <br />Proposed Use of Building N/A <br />Handsome. Obtain MEIBWIO Mother <br />SUILOINGUSE:OBFR OTrxmhouse ODu lax DADU DMUISFamil-#Unds: OCommerciel DAocess0 Simdue <br />T eof Pm' cC DNB« CAddrumn DRemodel DR air OT.I. OSi n C9 rinkler ZDemalition DOhan aof Uas <br />DESCRIPTION OF WORK: Ctty of Everett Public Works Grew to demolish and dispose of 480 SF residence constructed with a post <br />and beam foundation in 1940. <br />SSOCMTED BUILDING PERMIT ifs liwblel: <br />MECHANICAL PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />�n <br />Count <br />List of Fixtures <br />u+ <br />fist Ol FXNrea <br />FwTure <br />Lounf <br />Lq{af Fixt <br />Fixture <br />Loun( <br />List of FiiWres <br />P6—PU Handling Units <br />Gas PipingI <br />BacMow Prevelllx InGbe Blag) <br />Shinier. Tub, or Combo <br />Baler <br />Gas Range <br />(AotM1aa WullarISM-Commpuel3mm <br />emloor) <br />clothes D r <br />Hag Pom WUNesa I <br />Dignsarter <br />Smk-Realdemal ilchancatstar <br />Duct System Remodep <br />Roltmet88on <br />Orn i margin <br />ark-Wififty.Iauntl ,man <br />ETamo Fans Ragdenlial) <br />LammeidOl Vemma <br />(NOT HeaVA( a bm) <br />Fbp ORin <br />TOM <br />Exhaust HOW mus 1) <br />Hose am <br />Uhrel <br />Emmust HOM gyne 11) <br />Water Neater <br />rM-Gnase <br />WeatayVaer PipingRoper <br />Exhaust HaW (ResdeYa <br />WOW Steve <br />r-Sere0 <br />WeWrServire coming meter <br />Formed air Systems <br />other.Medirol <br />Gas <br />Wat-Vabos Or FlMrea <br />Gas FlteplacellnseNLoo <br />I <br />Motorman <br />Water Heater <br />SPRINKLER f SUPPRESSION <br />SYSTEM <br />Sewage Ejector or sump Pump <br />Other. <br />afar Suppreulon System <br />No.WHeatls <br />LY¢miml5uppreASi0n System <br />No. W HesW <br />n- ENT l hate rer2vgdlha eppogna aadmanna man inlwm8nm gambirree he'em re nw aM aomU. WM aOMpursuene In mu Games meet cases Mh <br />"rrnmhema{gone, y"Inansffaw. Thegnnrgora pemxyeMyautha5zeaepppvNwwxane imeerar surerefmm. oawelanemretrosre. arahwrreeia mesa sem the <br />Butl6ng Dilrc'iaibebn being authapedwg myr/mum#enro.lam Me ume;, wlamauthwrsaf bYNevmmalfMapm�rtybppbrm me vvM Wwhich wplkaNnia mane, <br />and l wmyy Him Hre State COnfratb5 law 1827 RLWantl M 2" WAL. <br />LMNErenYOTm'al Vm On <br />Dean Shaughnessy `.,Oaam2y0.12.2b01"2Shaughnessy PERMn <br />. wee: D20.121208:t P.42 Deno• <br />OruuA9cc re1F1C). <br />1,�11wm l INZJ <br />�01- <br />