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, • PERMIT APPLICATION <br /> BUILDING ! MECHANICAL I PLUMBING / SIGN 1 SPRINKLER / DEMOLITION <br /> CIT Y OF EVERET 1 PERMR Sf=RVICf_S <br /> JZ00 CEUAR STRflEi, I:VLRE I i,WA 9�201 <br /> (P)425�257-8�10 � FNC 425•257-8857 �(C_)evcreticps@evcretN+a gov� wvnv evc�efM1va.gov/perm�ts <br /> PROJECT SITE INFORMATION <br /> PROJECT 5 T S: l PROPERTY TAX#: <br /> LEGAI lor new ronsirucuon�. Short PiaVsuhdivrsion Lot No (atlaeh copy of�ong Iegal descnphon) <br /> CONTACT INFORMATION <br /> OWNER NAME: � Q��-✓ TENANT NAME(II Commercial�: <br /> OWNER IdAILING AD�RESS: sraEr.r 22 . ST <br /> Cm stntE [iv <br /> OWNER PHONE: OWNER EMAIL: <br /> . . ..._. ._ ._. . .. .... ..... . ...... . . .—� r' /^. <br /> _ ._- — `-.. . _ . ._._ . . . . . . _ _ . . . ._ . . . ..__ . ._._ _ . .__ .._ <br /> CONTRACTORNAME�. {�. U //S YL Y(� � <br /> CONTRACTORADDRESS: sraet� �A�Y"`y'L <br /> �,r �r l�9 d'L o z3 5r�.� (,,1Gq :� �2� <br /> CONTRACTOR PHONE: Z � � / 'Q�Z3 CONTRACTOR EMAIL: �'�}–� �'!'Yf //�- L LL ow ' YJ+ I <br /> GO�vTRACTOR LICENSE#(REQUIRED): (i d�/ D CI7Y OF EVERE7T BUSINESS LIGENSE Y�RE�UIRED�: QS��� <br /> .. . ._ . . .. . . . . .____ .. . .. _ . . . . ._ . .. . . . __ . . _ _ . . . <br /> PRIMARY CONTACT: ❑ OWNER ONTRACTOR O OTNER(Please Speafy) <br /> CONTACT AME: CONTACT PHONE: L�2 �— �–' Q� Z r <br /> (/�z j Z S /V `C�� �–( vl . CONTACT EMAIL: <br /> BUILDING PERMIT APPLICATION <br /> Existmg Use of Bwiding- Contract Pricc of Work:5__ ___ <br /> Proposed Use o!Budd�n9 Heat Source ❑Gas ❑Electnc ❑Other______ <br /> �wldmg Type� ❑SFR-Delached ❑SFR-Atlached ❑Duplex �tJulto-Famdyst of Unds ❑Commercial ❑Industnai <br /> Type of?ro�ect ❑New ❑Addihon ❑Remode� ❑Repav ❑T 1 ❑Sign ❑Spnnkler ❑Demolmon ❑Change of Use <br /> DESCRIPTION OF WORK: �� _� . <br /> 1J�- ��C� c �� L��-c , �n�7� �, <br /> ASSOCIATED BUILDING PERMIT#(if aoplicahle). <br /> MECMANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> iype ol Projee�: New AJJn Alteration Repiir Type ol ProjecC New Adtln Alteration Repair <br /> a°� Lisf o!Firfures ��� i.isf o!F�+twes p�� List o/Fiifines p�� Lisf olGiHures <br /> FirfuiCs Firfaics Firtures FiYhucs <br /> A/C–A�r Handting Umts Heal Pump Toiiet E3ackflow Preventer(Inside E31dg) <br /> Forced A!r Systems Umt lieatei Bathtub Unnal <br /> Gas P�pmg F3odcr l avatory(Wash 6asin� Dnnkm9 Fountam <br /> Watcr Hcater Relriqeratr,n Sbov.c� Floor Dram <br /> Gas l�ucplacc Wootl Slovc Kitchen ti��nh 8 Disposal Grcasc Trap <br /> Gas Fangc Uuctmc� U:shwasher Rool Drains <br /> Clolnes Dryer Hookups Olher Clolhes Washei Ivtetl:cal Gas <br /> fiangc Hood Waler Heater Othcr <br /> Fshaust Fan Smk(Service/Dar/Mop/ele.) Othe� <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Numberof Heads <br /> ACHROWLE06EM17EN7.1 have/erPwetl tA6 a➢C�'caLan anQ conhrm 1he mlormaton conla�netl�em�n rs Ime anE cone:t Wo�k dono pursuant!o In4 pem.i musf comp'y wJn <br /> curmnl letlenl,stafe.and focal/aii TAe gn.nl��g c/a perm t onty avfnon:es appiovcA�w�k ard no tlenalmns Nemlipm Oeviahons musf(.f De aulh0�md m wnhr.glrom fhe <br /> Qu�itl,ag Or,:ial belorn De�ng authonzetl unuer aa y n¢umsfar,ce /am fno m�r,er, o�I am aufnonzed Gy fhe owner o!fhrs propert y to p^Ao�m fhe wro�lr ler�:hrcn ep,Gcel�o�is matle <br /> ,nJ I ccrr �r' Sla(e Cvntractors La�v 7877 RCW antl 296 200AWAC <br /> - Crty o!Evemfl OKaal Usc Only <br /> PERMIT# <br /> -� - i � (� /Z-Oz� <br /> O d gent Signature Oate (Rew;ed�Oi17/7015) <br />