1000 SE EVERETT MALL WAY SUITE 200 KELLER WILLIAMS 2017-01-13

� � � � � PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � v�ww.everettwa.govlpermits PROJECT SITE INFORMATION PROJECT S i� J�RES�: �.v � �f �� PROPERTY TAX #: �.�� S �� 3 � S ✓� LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: P� i..J �(�.�,t —� �'T� uf- j� ,�ENANT NAME (If Commercial): �'C�� . �,.� 5 �t OWNER MAILING ADDRESS: sTReeT CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: in� � j�►� [ c A� iC �l L �L L t CONTRACTOR ADDRESS: srRee� Cp �j � L(� GTY 5 D� E�- (� C STATE ��, ZIP {J � CONTRACTOR PHONE: Z. J L '� l`� � lo� � CONTRACTOR EMAIL: i �� (� ��l� L�� C�W` �`�S T/�) i CONTRACTOR LICENSE #(REQUIRED): W1' � F�� "� _ CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER (Please Specify) �}�� CONTACT NAME: CONTACT PHONE: �"3 � h� �� r �� t t� �� 2 u i� --� i� CONTACT EMAIL: y�,� < « � �Z lC !� C� ,,Z � C �M � 5'"r� '�, f BUILDING PERMIT APPLICATION i Existing Use of Building: Contract Price of Work: $ �2%G - Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: �. f� r, 1'`Q � U G>i,�i-� �'t, i I t' �`1.S.Y•�5 � �L..G�-t� c1'r'� I � I�S `r G'�Li�',e,�r-: ,� ,� � �.e,u,t t�,(;ti. �1r'�i}1 V�h,' J •' � � ASSOCIATED BUILDING PERMIT #(if applicable): {� I lc�C �—�� MECHANICAL PERMIT APPLICATION Type of Project: _New _ Addn �Alteration _Repair Fi fures Lisi of Fixtures Fixtures Listof Fixtures A/C — Air Handling Units Heat Pump Forced Air Systems Unit Heater Gas Piping Boiler Water Heater Refrigeration Gas Fireplace Wood Stove Gas Range Ducting Clothes Dryer Hookups Other: Range Hood Exhaust Fan SPRINKLER / SUPPRESSION SYSTEM Number of Heads J . ACKNOWLEDGEMENT I have reviewed fhis application and confi�m the information contained herein is true and correct. Work done pursuant to this permit must comply with 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 Building Official before being authorized under any circumstance. I am the owne�, or 1 am authorized by the owner of this property to perform fhe work for which application is made. and I comply with the State Contractors Law 18.27 RCW and 296 200A WAC. Cify of Everett Official Use Only PERMIT . �- � _} z , � ,� �� - Owner/Authorized Agent Signatur Date (Revised 10/12/201 �`Z