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6521 EVERGREEN WAY 2016-01-01 MF Import
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6521 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
5/12/2017 11:23:26 AM
Creation date
2/9/2017 10:42:19 PM
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
6521
Imported From Microfiche
Yes
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PERMIT APPLICATIQN <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 v,n�,�v�,everettwa.org <br />SITE ADDRES � , <br />CLI' <br />LEGAL !or cr.w consln� <br />OWNER <br />iqX n <br />Snort PlaUsubervision Lol No._ (altach copy ol long legal tlescnpUon) <br />PhanelEmail <br />PLICANT:_Owner _Owner'sAgenl _Conirattor _CONraqoisHgeni _TenanllRusic�crcoaic-ei;�w�:cciuc.ncoc,�ncruca.cn�nnos�.,:�� <br />ONTRACTOR <br />BUILDING PERMIT APPLICATION <br />Exisung Use oF Bwiding <br />PwDosed Use of Building <br />6uilding type: _ Single Famdy _ Dup!ex _Townhouse _ 61uIti�Family <br />Typ•_ o( prc�ect. New AddiGon Remodel Repair _ 1'.I. <br />PRICE Of WORK <br />DESCRIPTIONOFWOR ae2tiona�spacep�avi�.etlo����y�� r�i.�/S <br />P_a.,�o1+� e�.v� ��� sfi � d ��• - <br />�1�. fo cQ-�" � on/ . s� � ca� � <br />� <br />er _ <br />�� <br />� <br />Bus Lic � <br />� <br />�✓ere�aJci p 4✓,,�; <br />✓ <br />HEnT SOURCE� <br />ition_Change of Use <br />/✓.e1�✓ �� 5;��-� <br />,�-,�., a�% we� <br />MECHANI AL PERMIY APPLICATIO P MHI,�(6 PERMIT4KPP�CfGA�fiON <br />fypeofPro�ect: _New_Addn _Alleralion_Repalr TypoofProjoct: _Now_Adtln _Altora�lon_Rapair <br />Show Num6er (#) ol lix(ures Shaw Num6cr (�) o/ fixfures <br />— air hantlhng unds <br />:zd a�r svslems <br />Water <br />R <br />[3oiler <br />SPRINKLER I SUPPRESSION SYSTEM <br />� Number of Heads <br />� Bathlub <br />Lavatory pv; <br />j Sho�var <br />j Kdchen sink <br />T- Dish��.ashcr <br />j Clolhes was <br />� Water heate <br />� Sink (service <br />I Backlioviprc <br />j Unnal <br />I Drinkmg Fo� <br />� Floordrain <br />I Grease trap <br />Rool drains <br />j P,1edical Gas <br />, Other <br />I �ewDy cen�ty Ihat 1 ��ove reatl antl e.arn�ned Ip, aFN�Whon and Vnow I�e samR IJ �e INe pnd cOrfecl All prov�sion". of Idws pnd ora ndncCs governing I��s p'pe ol N�ark wel be compi:M <br />vrnh w�el�er specdie0 �erein et net TTe granfing ol a Dermt tices nol presume io 9na aul�onry lo vioiaie or wn<el I�e provislon cl any oL�er slale or Iecal ia.v rtgulating consvudian <br />T�al I am aul�en:etl Ey o�ener ol :nis pmpeny to erfern he wo�k lor wn�cti aF�'����an is maae ana I compf� w�!h i�c Sla�e CoNran:is Low 18 27 RC4V and i3E 200A WAC � <br />i �� <br />� � . 3 -�r,��� <br />nor/Aut rized Aqonl Siyn , Datc (Rovised 3,2077) <br />r/ <br />. <br />
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