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� <br />� • • <br />PERMIT APPLICATI�N <br />BUILDINGIMECHANICALlPLUMBINGISIGNISPRtNKLER/DEMOLITIO(�I <br />CITY OF EVERETT PERMIT SERV(CES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />ADDRESS: 8920 Evergreen Way <br />PROPERTY TAX t1 <br />See attached <br /># <br />LEGAL tor new constnrction: Short PlaVsubdivision Lot No. {attach copy of long legal description) <br />CVS Communities <br />PhonelE-mail 949-715-7094/csantoro6@gmail , com <br />105 Crescent Bay Drive, Suite D ICity/StatelZip Laguna Beach, CA 92651 <br />IT: _ Ovmer _ Ormers Agent _ Contractor _ Contractor's Agenl X TBR2fli (musl provide a letter o1 consenl irom the onner to do �+vrk in tl�e <br />NTRACTOR Exxel Pacific, Inc StateLic.�t EXXELP1073KN Cit Bus.Lic.# <br />ress 323 Telegraph Rd. Bellingham, YiA 98226 PhonelEmail 36Q-734-2872 <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building <br />Proposed Use of Building Carport <br />Bui(ding lype: _Single Family _ Duplex,_,Townhouse _ <br />Type of project: x New Addition Remodel Repair <br />DESCRIPTION OF WORK (additiona! space provided on the back): <br />Construct carport #2 for 6 vehicles <br />MECHANICAL PERMIT APPlICATlON <br />ofProject: _New_Addn _AI►eration_f2epair <br />Show Number (#) of frxlures <br />AIC — air handling units <br />Forced air systems <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Ranqe hood <br />Heat pump <br />Unit heater <br />Boiier <br />Charles tdorgan, Architect <br />il 425-353-2888/barb@cmaarch.com <br />T PRIC�.OF WORK $5, 190 <br />HEAT SOURCE: <br />Multi-Family _ Commercial <br />T.1. Siqn Sprinkie <br />PLUMBING PERMIT APPLICATION <br />Type of ProJect: _New_Addn ____AlteraUon _�Repair <br />Show Number (#) of flxtures <br />Toilet '�' <br />Bathtub <br />Lavato wash basin <br />Shower <br />Kitchen sink & disposal <br />Water heater <br />Sink (service� <br />eackflow pre� <br />Drinking Fountain <br />Floor drain <br />Woodstove Grease tra <br />Ductin Roof drains <br />Other Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM Other: <br />Nun�ber of Heads Other: <br />I hereby cer6ty thal I have r d and examined this a catbn and know ttie same Io be Uue and correct. All provlslons of laws and ordlnances goveming Ihis type of �vorl:vrdl be comp' <br />vrith whether specified her in or n l. The grantBig oPa ertnil does not presume to give authority to violate or cancel Ihe provlsion o1 any other sfate or local lav regulaUng conslruction <br />I a aulhorized by lh ovrn of ihis property fo p Aorm the wortc for vrhich appE tion ' made and 1 compFy vrifh the Slaie ConVaclors Lavr 1827 RCW and 296.207A WAC. <br />'��-^�' l 1 .� ( � l � 3 <br />O er Authorized A nt Sfflnature Date (Revised 9�014J <br />