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PERMIT APPLICATION ��� z —D7 1S <br /> BUILDING I MECHANICAL I P�UMBING I SIGN I SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERRIIT S[RVICES �/ <br /> 3200 CEDAR STR[El, EVEFETT.WA 99201 I��sZ�`�J <br /> (P)425-257-8810 � FAX 425�257�8857 ��E)evereueDs@everettwa gov I ��.evcretlwa gavlpermds <br /> • '�`.::':: ,. . ,'+:.:1 PROJECT SITE INFORMATIOMr.'c .- . : . ' t . , . . • <br /> PROJECT SITE AO�RESS: PROPERTY TAX#: <br /> o�SD �t'i� r �: <br /> LEGAL la neN cenY.rucnen Snort PlaVsu�Cms�en Lot Ko lattacn c„py o�long legal tlesa�o'�on� <br /> • • ' ' ,.-• : i'CONTACT.INFORMATION . =�. •:-• ' . ` • " . <br /> �. <br /> OWNER NAME: � hQr �E�Fl TENANT NAME(II Commercial): <br /> OWNER MAILING ADDRESS: ;rFce• .� �C �f�d. W A (��t d e ��y <br />, c�n y� .��1L''rC ("t srntE j�c:S, z��a �8 <br /> OWNER PHONE: pc S VoT 3 ' 9�B O '� OWNER EMAIL: <br />�. CONTRACTORNAME� � -QJq(��'� �G' q�i �}- C S��JS <br /> CONTRACTORADDRE55: s�NEc* / p19 iF�Q D � �Q�- <br /> Cm �� K�J Vl'1 1 'S �� Siti[ (.v Iio �.� I U <br /> CONTRACTOR PHONE: .,�0(o ��� J ���ri CONTRACTOR EM1IAIL: GLZUe . a Jq 1 �`F �G-�I L � �k� ' <br /> CONTRACTOR UCENSE tJ(REOUiRED)��L��4I ff G g(�, I l3 �J CITY OF F`:ERET7 BUSINESS LICENSE 41REOUtRLD�. ��;,� <br /> PRIMARY CONTACT: ❑OWNER Q'iCONTRACTOR O OTHCR(Please Speaty) <br /> CONTACT NAME: !lu� 7a ��� q CONTACT PHONE: D 9 ��v� �O <br /> t-J /i. <br /> CONTACT EMAIL: <br /> `.;.. . '. BUILDING PERMIT APPLICATION'. ` � .: ` <br /> ,;. . . ;a. - , :�ti... _ . . <br /> E.�sung U=_e al Bwltling Contrect Frice of WorM: S___ �Q � <br /> Proposetl Use ot Bwltling Heat Source ❑Gas ❑Electnc ❑Other <br /> �udtlmq Type. ❑SFR-Detachetl ❑SFR�Attached ❑Duple� ❑hluitrFamd �u o!Unds ❑Commerual ❑Industnal <br /> T pe ol Pro ect ❑New ❑Adddion ❑Remodel ❑Reoau ❑T I ❑Sian ❑Spnnkler ❑Cemol�tion OCh3nQe ol USC <br /> DESCRIPTION OF WORK: <br /> ����j� �� �.�ILV��� 'V l�-6� IVV�� <br /> 7 <br /> ASSOCIATED BUILDING PERM17IT p(d appiicablc) <br /> '�MECHANICAL PERMIT APPUCATION;.., ; .'°�:•.••PLUMDING PERMIf-APPUGATION'�` � � <br /> lypc ol Projecl: New Addn Atlera6on Repart Typc ol PrajccL New Atltln Alterah�n Repav <br /> #�� Lizt ol Fr(ures ��� Cis(ol Fn(ures tl�� Lnt ol Fi.tures �°� '.�sl ol F�.rwcs <br /> lrxfurc5 Frafwes F�rfures Fr�tures <br /> A1C-Arc Hantlhnq UmtS Heat i�un��u Talet [ia�ktlow Prevc�:er�Ins�tle Bidql <br /> ForceU A�r 5 slems Umt Flealer B�ihlub Urmal <br /> Gas Pip�ng f3oJer l.avalor �Wash Basin) Dnnk� � Founlain <br /> Waler Healcr Refn eranon Shower Floa� Dra�n <br /> G35 FuepI�CE Wood SIOVB Kitchen Sink& Disposal Giease Trap <br /> Gas Range Duchng Disnwasner Rool Dra�ns <br /> Clothes U er Hooku s Othcr Ciot�es Washer 61ed�cal Gas <br /> Range Hood Water I�iealer Other <br /> Exhaust Fan S nk �ServterBauM1lo /ete) Olher <br /> -� �SPRINKLER I SUPPRESSION SYSTEM:';.:; ; <br /> Number of Neads <br /> ACNNOWLEDGEM1!ENT Inave�enMi'eGf��sappSCJ'ronanaronluml�emlortnaGonconlamc0�erernrsbueJnticortMf lVe/kOonepursb'antlolOispMmiimuslcomplyw,t� <br /> cunenlleCe�al.sta'e,a�0locaNaw Ine grantmg ol a p�imq ony aulnonres appmrea�rorM a�0�o aev�al:ons tnrre�mm Denabo�s musl hrs�Oe aulnonretl m wrdmg from tne <br /> BuJO�ng OH:[�dl Delo�e Oerng auNonlCO untlC/dny O�N.T.Sld�ce 1 Jm f�o oc.nC�. 0��am au'h0'+CC Oy!nP NvrW oR��R F�CpPity Io pp�0�m MC n�OIM�nr w�¢h TOF'��r�'o��5 m,�OC <br /> antl I cempty xr��f�e Sfete Conbacrors Law IB 27 RC�V un0 796:COA C:AC <br /> C!ry a�E.ererl ON,aai Use O.��y <br /> „ • aEa�dii a �� O <br /> �\ . <br /> Ow AulhorirCU Agent Sig alur Dale (FrvrsCU 70/17l2075) <br />