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� <br />• <br />PERMIT A�P�B�AiiOIV <br />BUILDING/MECHA►NIC�►L/F�LUIVI�IIVCI'SI�afViSP1�INKLER/DEMOLITION <br />COTY (?F �VERETT PERMIT �ERVICE� <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />ADDRESS: pROPERTY TAX # PERMIT � <br />2022 HIGHLAND AVE , EVERETT, WA 98201-2630 00563241002700 �� ��,- <br />1L for new construction: Short Plat/subdivision s� NICHOLAS ADD BLK 410 _�ot No._27 8: 2&attach copy of Iong legal description) <br />ER FELIX HUESCA �noneiE-mai! 425 268 6612 felixhuesca@msn.com <br />;S 5111 Dogwood Dr, �� ��� City/State/Zip Everett, WA 98203 <br />X Owner <br />NTRACTOR TBD <br />Owner's Agent __ Contractor _ Contractor's Agent <br />S!ate LiC. # <br />T@f1811Y (musf provide a lett�r o( consent from the owner to do work in the space) <br />Phone/Email <br />1i2 PERMIT <br />Bus. Lic. # <br />Pf �one/E-mail <br />BUILDING PER�IflIT APPLICATIOnI ��� CONiRACT PFE9CE QF W�fORK _`,��(��� <br />Existing Use of Building SINGLE FAMILI" � NEAT 50URCE: <br />Proposed Use of Building SINGLE FAM!LY Gas X Electric <br />— -- �--- <br />Building type: X Single Farr�ily _ Duplex _To�vnhouse __ Mult;-Farni;y _ Com�n�rcisl <br />Type of project: _ New _ Addition X__ Remodel X Repaar T.I. _ Sign _Sprinkler _Demoiition Chan <br />DESCRIPTION OF WORK (additional space provided on the back) :�` <br />REMODEL OF (E) !NTERIGR RESIDENCE AND A BASE�iE��T 8 �4AI�i F�_QCR A7i �!TIQN PER PLANS <br />MECHAf+�E+:��►dL F'��;;il�l1�`� a►�6'��C�'C1�9o1 <br />of Project: _New Y Addn _Alieration _Repair 9�� <br />z� <br />Show Number (#; of fiixf<<rss <br />j A/C – air hanc�ling units <br />1 Forced air sysiems <br />j � Gas piping � <br />1 1 Water heater <br />� Gas fireplace ____�_ _ <br />� i Gas ran e <br />� Clothes dryer <br />I � Range hood <br />Exhaustfan <br />;{4 ��;r-,� <br />unit l�eatei <br />Boiler <br />';efr�g-:rati�r <br />bVoodstovc <br />j Gther � <br />SPRINKL�� ' SIJC��'��S slOfal SlI' v'1"�tVl � I <br />Other <br />of Use <br />E'fLt1�;�BF3��Nl4'� �I�I�IV�Ii Q1F'�'LICATION <br />of Prujec4: __New _Addn _Aiteration _Repair <br />Show Number (#) of fixtures <br />__�_;' Toiiet <br />1 � Bathtub <br />Lavator wash basin <br />Shower <br />Kitchen sink & dispos <br />Dishwasher <br />Clothes washer <br />Sink (ser✓ice/bar/ <br />3�:�'<fi:;w.+ prevert: <br />Ur�r��el �. <br />Drir71<ing Fountain <br />�loor dr4ir <br />Grease tra�_ <br />Roof drains <br />IUedir.al Gas <br />Other�_�_ _ <br />Iv.�mbet o: Heads __; ; O!her: � <br />I hereby rtify that I have read and examined lhis applicar.ion and la�ow the same lo be t ua and correct. Ail �rovisions of 12ws ard ordinances ,qoverning this type of work will be comp <br />with whet er specified herein or 7he granting of a permit eoes ot presume to give �u'�ority tc violate or cancei the pro�isior� of any other state or local law regulating construction <br />That I am ' thoriced by th �v�, r of t" ,r:a�,Fr,y .� pe, `or� ��:he v✓o k f� ��-� �.irh appi �a[u r. is ma�a� ana ' coi��eP -��11 ine 5'. !te ConUaciurs Law iF3.<^7 RCW and 296200A WAC. <br />-� ' �� Z <br />_.���-.� � � �ti� <br />(Revised 9/2014) <br />