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820 WETMORE AVE 2016-10-14
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820 WETMORE AVE 2016-10-14
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Last modified
1/13/2017 2:41:45 AM
Creation date
10/14/2016 9:13:45 AM
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Template:
Address Document
Street Name
WETMORE AVE
Street Number
820
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• � <br />P�RMI1" A�PLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />SITEADDRESS: PROPERTYTAX# P T# 1 <br />�� C y'�l�%lV90 f`�' �'� y; ;2� ) % �.' -; `-j r :� c° i L � '(J c. <br />LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />� , o: � r � <br />OWNER � � %? � C, �, i � � -��i� `= i i�.^_11; r Phone/E-mail °-j,,. � �"� S ,%� �% <br />Address `� <br />�, � o � ���7l�7 C��� � 1%ElZ� l % G��.a . �l �„ b r City/State/Zip � 1 �'�.i•4 � T % G�_-�-�� � `7� �J :� �- � <br />APPLICANT: �Owner _ Owner's Agent _ Contractor _ Contractor�5 A92f1[ _ TBf18f1f (mus� provide a lelter of consenl from lhe owner lo do work in the space) <br />CONTRACTOR f� �,� �.J�7' �� ��? �'`' ��'��- !i�'��= "� � �> �t`+�`�M? -���� State Lic. # �,�1 /�,'� j) C5� / �{ k�I:��City Bus. Lic. # C�,:� _�:�J =� <br />Address .`.'�:�.' � �-�,-,� r��l✓� %� �;��.�i� 5,'�I�IJhl� IZ1J, Lti r• l�'ti :� 5 Phone/Email �4�� �5� '� 9`d�(' <br />TENANT BUSINESS NAME CONTACT FOR PERMIT <br />c�����,�y w�.s filL,k� ;��,�� <br />Phone� mail � S a5 �i �( 2 5� �1 Z�`� C9� 71 q�i <br />BUILDING PERMIT APPLICATIORI CONTRACT PRICE OF WORK � �%E� ��S � <br />Existing Use of Building HEAT SOURCE: <br />Pfoposed Use of Building Gas_ Electric Other_ <br />Building type: � Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of projecl ._ New Addition _ Remodel �j Repair =T_I. _ 5ign _Sprinl<lery Demolition =Change of Use <br />DESCRIPi ION OF WORK (additional space provided on the hack) : <br />�-- � v � I � � �- � i v � � � � ,�- � � h a ✓s� <br />�� S"fi o4 h (�� (�Y ('v'' � *' �'0( d /' <br />� r i n �^ c z �� � U ��' ���" J� 'fi _r <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair Type of Project: _New_Addn _Alteretion _Repair <br />Show Number (#) of fixtures Show Number (#) of fixfures <br />A/C — air handling units i Toilet <br />� Forced air systems � Bathtub <br />� Gas piping � Lavatory (wash basin) <br />`,� Water heater � Shower <br />� Gas fireplace � Kitchen sink & disposal <br />� Gas range I Dishw sher <br />� Clothes dryer i Ciothes washer <br />� Range hood � Water heater <br />Exhaust fan � Sink (service/bar op/etc.) <br />Heat pump � Backflow preventer <br />� Unit heater � Urinal <br />� Boiler �'^ j Drinking Fountain <br />� Refrigeration � Floor drain <br />� Woodstove �` Grease trap <br />� Ducting � Roof drains <br />I Other '�� I Medical Gas <br />SPRINKLER / SUPPR�SS16I�1 S�fSifEiifi I Other: <br />Number of Heads I Other: <br />I nereby certify that I have read and examined this application and know fhe same lo be true and correct. All provisions of laws and ordinances governing ihis type of work will be complied <br />with whether specitied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any olher slate or local law regulating construction <br />That I am authorized by lhe owner of this property to perform the work for which application is made and I comply with the Slate Contractors Law 18.27 RCW and 296200A WAC. <br />1f <br />i! l./��;��--� .�� �t�z�zo�� � <br />Owne-�rized Agent Signature Date (Revised 3/2013) <br />
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