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Oren. PERMIT APPLICATIOfl <br /> BUILDIF-...WMECHANICAL/ PLUMBING / SIGN RINKLER I DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 a <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.joWpermits <br /> PROJECT SITE INFORMATION <br /> PROJE,5TITTS 9DDR5S$C "1G� PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: N-(LL STREET 1 Ut 5T144 EAT-TENANT NAME(If Commercial): Sti- <br /> OWNER MAILING ADDRESS: STREET 3362 M G XU6-/}[_�_. <br /> CITY EiJ E12�j T STATE w" ZIP Ci 0-614 <br /> OWNER PHONE: I-42. - ZS-9 — 1(1 5- OWNER EMAIL: elt-56.U-k-A '- Q w 0ge_i( . NcT <br /> CONTRACTOR NAME: Duq,Jj 0 C2,4wF'Oieb / ix) <br /> �. c_ <br /> CONTRACTORADDRESS: STREET 14 O -2 row LF:, /40 <br /> CITY j STATE Wit- ZIP <br /> /� 6 Qr%3 <br /> CONTRACTOR PHONE: /42,5^-3�� -�f 2Z CONTRACTOR EMAIL: d L ,1.€ �cloC✓raw cord . C'auil <br /> CONTRACTOR LICENSE#(REQUIRED): -1)14A wEce. /U(1t6-- CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 06ONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: Ztj .2>q �jI - b 'L <br /> �t(4A) &RAt,t)rCR CONTACT EMAIL: dtAc4.1.e_ �CtoCra -�dfc2 .epys7 <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: 'F fico l (t'/ L 14,16E_ Contract Price of Work: $ 2 r 00 , 0 a <br /> Proposed Use of Building: 3.4414 Heat Source: Piroas DElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: lecommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel DRepair T.I. ❑Sign ❑Sprinkler 0 Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> D E lvl 1 a I ilJ 6-- w-* c- / ,J F- Li ST//J6 0 Fr=i C E Z door/oom <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn Alteration _Repair Type of Project: New _Addn _Alteration _Repair <br /> #of List of Fiktures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures - Fixtures Fixtures Fixtures <br /> NC-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range _ Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT.'I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom,Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance. I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# P)i <br /> (0a'-LZ- I (9 1Kr/t <br /> Owner thorized Agent Signatur Date (Revised 10/12/2015) `�� <br />