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1714 EDGEMOOR LN 2016-08-03
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1714 EDGEMOOR LN 2016-08-03
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Last modified
8/3/2016 10:48:06 AM
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8/3/2016 10:48:05 AM
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Address Document
Street Name
EDGEMOOR LN
Street Number
1714
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..... <br /> •__`___:...._�:,_ ......................�.._..�«�«� ..:...................�,..�,.........._..�.... ,. _: iC qr P; d „�,: <br /> Ptea, <br /> PERMIT APPLICATION <br /> BUILDING t MECHANICAL f PLUMBING l SIGN/SPRINKLER 1 DEMOLITION <br /> CITY OF EVERETT PERMIT SERVJCES <br /> 3200 CEDAR STREET,EVERETI"',WA 88201 <br /> 1 O. L (P)425-257-881 1 FAX 425-257-8837 1(l )everettel e`erett"-gav t =everellm.gov/pennits <br /> PRESITE <br /> PROJECT-SITE ADDRESS: 1"� PROPERTY TAX <br /> LEGALfor new cons tion: short%tlsubdivisiUra Lar leo. {attars copy oflarsg legal dascripEion} <br /> CONTACT INFOR!"i TION <br /> OWNER NAME: ' 'gR 6 "tE[+i ++tT NAME(it CornmercialY. <br /> OWNER HAILING ADDRESS: sT€ T 1-1Ck <br /> C.rry E.v er`e wars �F <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDS: SMET ntjr" ppqq <br /> cffy " STATE f" 2J £) <br /> CONTRACTOR PHONE: uCi ` � � � � CONTRACTOR EMAIL; � , <br /> CONTRACTOR LICENSE#(REQUIRl5t* C H %010 Cif'Y OF ETT BUSINESS LltENSE#(RE@ :' S5 <br /> PRIMARY CONTACT 13OWNER €3NTRACTOR E3 OTHER(Please Specify) <br /> CONTACT NAME:CONTACT PfiONE: - <br /> &7' SL-Monsorl CONTACT EMAIL. <br /> __�recncc hua t XM <br /> SUILDING PeIMIT MPLIICAMO A <br /> 'sting Use of Building: Contract Price 01 Work: <br /> Profxased Use of Building. Meat Source: s DElectric 00ther <br /> Building T e: ®SFR-Detached 13SFR-Attached ODu i x 13Mlialti-Famil -#of [1Commercial Qlndust4al <br /> Type of Project: Cl itlon ®Remodel URe it 13T.I. 088 n ®Sprinkler Mernolltion ®Change of Use <br /> DESCPJPTIO14 OF WORIC <br /> "8 <br /> ASSOCIATED BUILDING PERMIT# if a licable <br /> 1111EMMICAL PW MIt`'1`APPLICA'!'[011il, PLUMBING PERMT AIPPL CAT ION <br /> Type of Project. TNow,_,_, Addn —Atteration „—Relrair 'type of Feet: „_New _,kddn _,,Alteratlon „_,,,.Repel, <br /> FixtureList of Fixtures FixtureList of Fixtures Fps ist Lof fixtures �fx es List of Fres <br /> Aft✓—Air Handling Units Heat Pump Toilet backflow Preventer Inside Bldg) <br /> Forced Air Systems Unit Beater Bathtub Urinal <br /> Cas-Pi in Boller Lavatoryash Basin DrinkingFountain <br /> FtWfri eratioit S(to f=loor Dmn <br /> Gas Fireplace } ud Stove Kitchen Sink&1Ji cal grease Trap <br /> Gas"Ran a Ductln Dishwasher Roof Drains <br /> Clothes 2M Hookups Cather: Clothes Washer Medical Gas <br /> Range Hood Water Heater tither. <br /> Exhaust Fen SinkSerulr Bartmoplete. Other: <br /> SPRINKLER t SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOMEDGEMENT°t have reviewed this apipfrcation and corrin»,the infornmilon contained herein is true and correct.Work done pursuant to this permit tirust comply with <br /> current federal,state,and local few The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing tion»the <br /> Building offrciaitietore ander any almumataare.1 am the owner,*.,I am authorized by the owner of this property to perform the work for wh ch,appiication is made, <br /> and t compty oath ata Conkadm Law 1&27 RCW and 296.200.4 WAC. <br /> City of Everett Oftal Use Only <br /> PERMIT'# �v <br /> Own IA prized Agent Signature Date (Revised 101=01 5) <br />
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