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v . :2i'�a tr �.. Faac :.. <br /> • • <br /> PERMIT �,�P1_!CATION <br /> BU[LDING.'MECHANICALlPLUMBING/SIGV/SPRlNKLER/DEMOLITION <br /> CITY OF EVERETT 4'ERMIT SE;2VICES <br /> 3200 Cedar St., Everelt, VJA ?$z01 - 4L5-257-88'10- FAX 425-2:7-8857 _�•,,y�,;,everetiv�e org <br /> APPLICATIONS ARG ACCEPTED FROf�t 8 AM Tp 4 pt,1 <br /> SITEADD���:HoytAve EVERETT PROVERTYTAX# rrr.rn� e <br /> / 0 - 0 <br /> LEGAL!c:rqwrqnbh�Clioo. ShCrIP;OUeuLdr�iSion lclNo (aR)'n<opyel.om�le,31Uo5crpl�cn) <br /> O�ti'NER Randy Middaugh Phor,9,'L�moil 425-330-8875 <br /> :.h-�ess 1209 HoytAve cr.,�sw��za EVERETT WA 98201 <br /> cor,rancroa Danika Plumbin & Contractin L A i Lia:i DANIKPC916LQ <br /> :.-��-�s 3614 73rd Dr NE, Mar sville, WA 98270 Pho�oiEma�l(425 335-3515/uifo@danikaco.com <br /> TENANT BU51 ESS� A1�+E GONTACT FOR PERA;IT Randy Middaugh <br /> Ph[rt.'�meil 425-330-8875 <br /> BUILDING PERMIT APPLiCATION CONTRACT PRICE OF WORK�Q�.00 <br /> ExisSng Use n`Build�ng HFl�i SOURCE: <br /> r roposed Usc of Bu�lding Cas cinc�nc Cuv^r <br /> Buii�u�y IYpe: �Single Family �Dupiex_Townnowe Mulli-Fztnily _Cummercia; <br /> TyPe of prcjeCl� _Ncw _Addihon _ Repair X T.I. Sign__Sprinkler Demolitlen Change of Usc <br /> 7[5r.rip;�on of'NoM1c(dydr�lcrre�spe:e pNmy d on IlC UJCMJ: <br /> Have you slartod working withoul a permit7 �YES �NO <br /> MECHANICAL PERMIT APPLICATION PtUMBING PERMIT APPLICATION <br /> Typa of Vrojecl: _Now_Addn _qileralion_Ropair Type of ProJoeP _New_FtlCn _Alteralion�(Repnir <br /> S�ow Numbc� .)o/lirfures Shmv Number(pJ o/pxfurec <br /> NC—mr handling un�.ts Toilql <br /> Forcetl 1ir s stenl5 Balhlcb <br /> Gas Pipin, Lav(itory F:+ash havn <br /> Weler hna;or ShU�var <br /> i Gas i,;c !are K�tciicn sink 8 dis osol <br /> Ges ranqe Dlshv;��sher <br /> Clolhe5 dryer '� Clothe5 v:nshcr <br /> ' ����AA����'h VJaten c�afer <br /> Exhxust lan Sink(tiervica�b:arhno �BIC. <br /> lic�!purnV B�ckOow prwvenler <br /> Unit he:der Urinal <br /> Boilar � C)nnkln7 Foactoin <br /> Nefrigeraticn Floor drain <br /> I Wncdstova Gma;c Vap <br /> DuGin <br /> Rr.nf drAins <br /> � D:her Mxcir,ai Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM Ol7or: <br /> Number ot HeadF Other: <br /> �i�����•by ceitiry ihal i haoe rEatl a�d exam�nm ihis appi�aation and wnow�hn wmo m he voe une conoct.an pre.¢�o�s o!Wn�und orcinnnces ge�an�n� <br /> Ih s rypo of uurk w;ll he complied witn whelher�pectlnd�omin or rwL 7he granLng of o pormlt Coes nol F25ucic lo yive authnriiy lo violate cr tonccl <br /> ihc�P�ov�;ion of any crt�rl ei:�to ur lowi law reguloling constmct�cn or lhe partomanco ol tM�tmctiun.Thnl I xm a�1Mr¢ed py Ine ovmar el Ih�s pmpary <br /> to pnrtorm ine vrorY.ir.r which npplkation is mado�nd I comply vn�h ihe State CoNraclors La�v 18.27 RCW end 298 200 WAC <br /> OwnoUAuthOnxod Agenl Slpnalura Ddlc (RC:�actl7rJ11; <br /> \I� <br />