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PERMIT APPLICATIO�
<br />BUILDIN�MECHANICAL I PLUMBING / SIGN / SPRINKLER ! DEMOLITION
<br />CITY OF EVERE7T PERMIT SERVICES
<br />3200 CEDAR STREET, EVEREI"T, WA 98201
<br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits
<br />. PROJECT S1TE INFORMA't'I+�N
<br />PFtOJECT SITE ADDRESS: 1336 Madrona Ave �'��P��'rY rAx #: p0505700002102
<br />LEGAL for new construction: Short PlaUsubdivision_,_,,,,___.,�,�,,,e,,_, __.��.,.�,�.,....__,_,,._.,.._�Lot No. (attach copy of long legal description)
<br />car�r�c°rr �N�c��MA�rior�
<br />OWNER NAME: S@IVa MUCIaIIai" TENANT NAME (If Commercial}:
<br />OWNER MAILING ADDRESS: sTReeT 1336 Madrona Ave
<br />CITY Everett STATE �NA z�� 98203
<br />OWNER PHONE:425-303-8669
<br />OWNER EMAIL:
<br />CONTRACTOR NaME;�NASHINGTON ENERGY SERVIGES
<br />CONTRACTOR ADDRESS: sraeEr 3909 196TH ST SW
<br />�„Y LYNNWOOD
<br />CONTRACTOR PHONE: 206-378-6927
<br />CONTRACTOR uCENSE #(Rc�luir.F�[:>}: WASHIES851 NS
<br />PRIMARY CONTAC7: ❑ OWNE� �CONTRACTOR
<br />CONTACT NAME:
<br />Ethan Onat
<br />STATE WA Z�P 98036
<br />EMq►�: eonat@washingtonenegy.com
<br />TY OF EVERETT BUSINESS LICENSE #{REC1UlRED}: 54773
<br />❑ OTHER (Piease Specify) � _�
<br />C�niTAC7 PHONE: 206-378-fi927
<br />CClN1'ACT EMAIL: eQnat@washingtonenergy.com
<br />B'UILItfH
<br />Exi�,;tin� Use of Ci�iilduig:
<br />Prqpc�s�d Use of C3uilclin�:
<br />Building 7y��e ❑5FR-Detached ❑SFR-Attached ❑Dupl
<br />-i'y�e of f'roject ❑New ❑Addition ORemodei ❑f2e.pair
<br />DESCRIPTION OF WORK:
<br />ASSOCIATED BUILDING PERMIT # {if a
<br />�VIECHANI�C1seL PERM�17 APPLI�A�'IC1N
<br />__ __ _ ,�.,
<br />Type of Project: _New _ Addn �Alteration ✓f2epalr
<br />Fi tures � Lisf of Fixtures Fixtures List of Fixiures
<br />� A/C – Air Handling Unit� Heat Pump
<br />Forced Air Systems Unit Heater
<br />Gas Piping�� Boiler
<br />, Water Heater Refrigeration
<br />Gas Fireplace Wood Stove
<br />Gas Range Ducting
<br />Clothes Dryer Hookup� Other:
<br />Ranqe Hood
<br />Exhaust Fari �
<br />SPRIN6tLl�i� / SUPf%�RESSION SYSTEM
<br />N�arnbe��.�f f�iE�ar:l ;
<br />t1,.r.N;�l1!�-.f. 1>Ci�ME J,�;,,vr,� n. ,_rr �ea fh�s ap�>>it,<;lfon ;-vul c.oi�l,�rn !h:. i�i.� n���atipn canta;r�-�d hc�rerr> i, tn �e anp corrr..ct N/orh done iursi,anf fa this p�rnii� rr�usi cornF�ly witP�
<br />ciu�cn, `e��de.���l s1.31e. aru %oi ai iv:v 1 n gr�ntirrg ol a p��m�t r�niy ,rcit;�,or�< �,s .��)Ni,ved work e; ��i no :ieviz�bt n„ tl�er�'frorn DF vraii��n5 r�u91 hrst be Huti;�nzeci �o wnling fr�m th�
<br />t;t�; ��:;i�,y Offr �I bcaforr� t;e..r;<7 author2 d e;,�r}„i ru��y r_r,�c,ir.��f��r' iz, !;:m� i,he ow�-�er or l t�:rr�i �ull�orized Uy thc;� own�� o( thi,^, X.rop�,rty to pe�,-ier�m tPe vt�or�k fe.r wh;ch cpF�iicaticn ;s rrr�c.'e,
<br />..,.,, .: :v:t� � , � . ..
<br />ai,�/ �_, ini - � Phr�� „?: Co!�tr:7c.c :� iv 1 fJ P7 f2CW t�n0 '96 200A ��'�( �
<br />R�RIV�1'1" APP'1.I�,�l"X �%iN
<br />� Contract Price of Work: $
<br />Heat Source: ❑Gas �Electric OOther
<br />❑Multi-Family�/6 of lla�its: ❑Commercial Olndustrial
<br />_......�_. —
<br />OT.L ❑Sic�n �Sprir�ider ❑Demolition ❑C177n�e of Use
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<br />C�ry ot Fvert�tf CJlhc��� Usra Onty
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