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� <br />� <br />BUILDING �ECHANICAL / PLUMBING / SiGN / S INKLER ! DEMOLITION <br />CITY OF EVERETT PERMIT SERVICE� <br />3200 CEDAR STREET, EVERETT, WA 982 � <br />(P) 425-257-881� � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />---__ _ _ __ <br />PROJECT SITE INFARMATION <br />PROJECT SITE ADDRESS: /�� 7���� ;'7( PROPERTY TAX #�. <br />! 1"' 1 <br />LEGA� for new cons#ructian: Short PlaUsubdivision Lot No. (attach copy af long legai description) <br />OWNER NAME: .J i�y>IC. <: <br />OWNER MAILtNG ADDRESS <br />�WNER PHONE: <br />STREET S%�/Jf <br />CITY <br />CONTACT iNFORMATlON <br />TENANT NAME t!f Commercia <br />CONTRACTOR NAME: �jg/�1,�,�,'�G`/� �� JG�,/� <br />CONTRACTOR ADORESS: srREEr `%y��� % (, <br />CITY :'�d�lf2 .t'. �i`'J �iJ G� � <br />CONTRACTOR PHONE: � z. �j - � ,' j -- �..; � �. �j <br />CONTRACTOR LfCENSE #(REQUIRED): �-{- y�'� � L��-} <br />PRIMARY GONTACT: ❑ OWNER �CONTRACTOR <br />S7ATE <br />OWNER EMAIL: <br />> /-%=/�-% ��%;� <br />�.7� 1�l'C �l-���._. <br />rw S7A7E <br />ZIP <br />ZIP <br />CONTRACTOR EMAIL: �, �r� � r� r,-y •_„��,,, ��' ��ri�7a;..r.�. C <br />b�. CITY OF EVERETT BUSiNESS LICENSE #(REQUIRED): f.i`�.� �C�tj <br />❑ OTHER (Please Specify) <br />CONTACT NAME: � ;�`; j`,l,� 1� �I,,� �7 �t ��`f CONTACT PHONE: ��/ Z � , � �j � _.. � j � 3 <br />CONTACT EMAIL. : ;,�,� � <br />BUI��E1+iG PERMtT A�RLlCATION <br />Existin Use of Buiiding: Contract Price of Work: S� � G% <br />Proposed Use of Building: Heat Source: Gas ❑Electric �Other <br />Building Type: �FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial <br />Type of Project: ❑New L�Additian C7Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: <br />„� ; <br />, � <br />� ,..1 J �c,n+._.�G_ _ c"i ..;;�-L,c.,�'.��.-��r-:,--,��: ��.e_-G2..r`" .,-�-<-'' J"'t..i� �2 « _ <br />``j f ..'r.?,� �( .�.��^�- � c% <br />t f! <br />ASSOCIATED BUILdiNG PERMIT # (if applicable): <br />MECHANICAL PERMIT APP�lCATION <br />Type of Project: TNew ___,,. Addn _Atteration _.___Repair <br />Fixfures Listof Fixtures Fixfures List of F/xtures <br />A/C — Air Handlin Units Heat Pump <br />Forced Air Systems lJnit Heater <br />j Gas Pipin Boiler <br />Water Heater Refri eration <br />Gas Firepiace Wood Stave <br />Gas Range Ducting <br />Clothes Dryer Hookups Other. <br />Exhaust <br />SPRINKLER / SUPPRESSION SYSTEM <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _._._ New _Addn T_Alteration _Repair <br />�Y of Lisi of Fiztures �°f List oi Fi�ures <br />Fixiures Fixtures <br />l"oilet Backflow Preventer (Inside Bid <br />6athtub Urinal <br />Lavato (Wash Basin) Drinking Fountain <br />Shower Floor Qrain <br />Kitchen Sink & Disposal Grease Trap <br />Dishwasher Roof Drains <br />Clothes Washer Medical Gas <br />Water Heater Other: <br />Sink (Service/Bar/Mop/etc.) Other: <br />ACKNOWLEDGEMENT; 1 have reviewed this appticafion and confr�m the rnformation contained herern is true and r,orrect. Wo�ic done pursuant to thrs permrt must compty with <br />current federal, siate, and focal law. The granting a1 a permit only authorrzes approvecf work and no deviatrons the�eirom. Davralrons musf first be authorized in wrrting from the <br />6uridrng ONicia! before baing authon�ed under any chcumstance. ( am the owner, or l am authorized hy the owne� of thrs prope�ty to per/orm fhe work for whrch application is made, <br />and I comply with the State Contractors Law t8.27 ACW and 296.200A WAC. <br />../ '� <br />- r / % <br />� � � � ��/ <br />� �;, !'":i % � f i�' �`' ,�,t>�- .rc._,. <br />� c. <br />City of Eve�ett Ofliciat Use Only <br />PERMIT # <br />. � <br />� <br />- � _- <br />� �� <br />, <br />