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, <br />+ • � <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEM4LITIDN <br />CiTY OF EVERETT PERMIT SERVECES <br />320d Cedar St., Everett, WA 98241 425-257-8810 FAX 425-257-8857 www,everettwa.org <br />ADDRESS: 8920 Evergreen Way <br />PROPERTY TAX N <br />See attached <br />for nevr construc6on: Short PlaUsubdivision Lot No. (attach copy of long �ega1 description) <br />,NER CVS Communities PhonelE-mail 949-715-7099/csantoro6c�gmail. com <br />ress 105 Cresceiit Bay Drive, Suite D CilylStatelZip Laguna Beach, CA 92651 <br />'LICANT: .__ Q��mer � Ovme�s Agent _ Contractor ___ Contractors Agent X_ Tenant �m�5� Pro•��ce a ieee� or oonsen� rrom me o:,ne� �o eo „orn m u,e Saace� <br />NZRACTOR Exxel Paca.fi.c, Inc State Lic. # EXXELP1073KN Cit Bus. Lic. # <br />ress 323 Telegraph Rd. Bellingham, PTA 98226 PhonelEmail 360-734-2872 <br />BUILDING PERMIT APPLICATION <br />CONTACT FOf2 PERMIT <br />Charles Morgan, Architect <br />Phonel�-rnail 42 5- 353 - 288 8/barb�cmaarch . com <br />CQNTRACT PRICE OF WORK S1, 730 <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building Carport Gasu Electricu Othe <br />Building type: _ Single �amily _ Duplex _7ownhouse _ Multi-Family _ Commercial <br />Type of projecl: X New Addition Remodel Repair T.L Sign Sprinkfer Demofition Chan e i <br />DESCRIPTION OF WORK (additionaf space provided on �he back): <br />Construct carport #5 for 2 vehicles <br />MECHANICAL PERMIT APPLICATION <br />of Project: ,�,New___Addn ,,,Alteration,_,Repair <br />Show Number (tl ot flxtures <br />AlG — air handling units <br />Forced air systems <br />Waler heater <br />Gas fireplace <br />Gas ranqe <br />Range hood <br />Exhausifan <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />PLUMBING PERMiT APPLICATiON <br />o( Project: ___ New �_Addn ,_Alteration _Repair <br />Bathtub <br />Shower <br />lCitchen sinlc & disposal <br />Dishwasher <br />Water heater <br />Sink {seroice, <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Other Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM Other: <br />Number of Hea Other: <br />I heraby certiiy lhat I �ave read d amNed thls a pC Ilon and know the same lo be Uue and correG. All provlslons of la�vs and ordinances goveming ttiis type of vrork wil be comp <br />rrith whelher specified herein r noi. e grartling a p rmit does not presume to giv authority to vblate or cancel Ihe provlsion o1 any olher state or focal la�v regulatirtg conslruGion <br />Th �lhorfzed by Ihe� me�lhis prop�� p omi�rk forvrhkh app llon �e and I compTy rdth lhe Stale ConUac(ors Law 18.27 RCW and 296.200A WAC. <br />�l C <br />(Revised 920i4) t r I� <br />� <br />