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� ' � � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Evereri,WA 98201 425-257-88'0 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: PNOVERTY T!U(p �E�5'D�OO� <br /> 1006 Broadway Avenue, Everett,WA 98201 00385422101800 <br /> LGGAL lor ne�.v conslrucuon Snon piavsubarv�von NA Lnt No_ (aI1aU copY o��ong legai de:cnp9cnl <br /> owNErt AmstadKoz EvCC LLC r'none�E-mad 206.755.1290/Josh •kozdevelo menLwm <br /> nmress �p08 Tenih Street #201 Gry/SiatMZip nohomish WA 9A290 <br /> APPLICANT: XOwner OHnersAgen! _Conlractcr ContraaorsAgent Tenam�-,,,iop.,�eo�r.,ei�-.�e^u�o��xe.�r�oa�..o+.=r�•.c,ri <br /> CONTRACTOR State Lic #/�� LA p ity Bus L1c a � <br /> naaress �010 SE Evereri Mall Wa , Everetl,WA 98208 anore�em,i qZ5.609.0400/TNelson kirtle •cole.co <br /> TENANT 6USINESS NAME CONTACT FOR PERMIT <br /> �o5n s�on <br /> NA Pnooere•ma i Same as Owner Information Above <br /> BUILDING PERMIT APPLICATION CONiRACT PRiCE oF WORK <br /> Ewshng Use ol Bwltling SFR HEAT SOURCE�. <br /> Proposetl Use of Building NA Gas Eiear�c Otr,e� <br /> Building lype �Smgle Famtly _Duplex_Townhouse _MN6-Family _Commeraal <br /> T e of ro ecC New Add�lion Remode� Re air T I Si n S rinkler Demohlion Chan e of Use <br /> DESCRIPTION CF WORK(adm.'�onai soacc proc:den on tnc oacel�. <br /> Demolish single family residence on sile. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projecl: _New_Addn _Alleralion_Repair TyDe of Projecl: _New_Addn _Altera�ian_Repair <br /> ShowNam6er a offirfurei ShowNumbcr k olfixmres <br /> A/C-air handlm units Toilel <br /> Forced a�r s stems Bathtub <br /> Gas i in Lavato wash basin <br /> Water heater Shower <br /> Gas fire lace Kitchen sink 8 dis osal <br /> Gas r.n e Dlshwashcr <br /> Clothes d er Clot�es washer <br /> Ran e hootl Water heater <br /> Eahaust�an Sink 5erv¢elbaUmo lelc <br /> Heat um Backllow reventer mside bld <br /> Unil hcalcr Urinal <br /> Boiler Drinkin �ountain <br /> Rclri crat�on Floor tlrain <br /> Woodstove Grease ira <br /> Ducbno Raol drains <br /> Olher Med�cal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other. <br /> Number ul Heatls Other. <br /> i�ere�Y cetliM��at I�ave maa antl e.ammea t�rs app4�itwn and knaw i�e same lo Ee Irue end mrtect All pmvis�ons o'laws ana oN:nances govemmg Ibis hPe al woik wdl�e wmp' <br /> wnnwne�nerspe�iGeenermnoinoi 1Aegranungolape�mAOoesnolpmsumo�ogrvoaNnonN�^�b���ooruncellneD�oviuonolanyo�nerstaleor�oeilWwmgula4ngmnsVucLon <br /> T�ai i am aui onme oy Vm awnrr o�Inis pmDeny la peNorm I�c won lor w�irn apPLe�Gan is ma0c ana i mmpH w�l���e Slalc ConVacmrs law 1B 21 RLW a�U 296 tODA WAC. <br /> � �V�� <br /> O r/ ut�orizeCAgealSignature Date (Revise0<?OfS� <br />