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10122 21ST AVE W 2017-03-09
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10122 21ST AVE W 2017-03-09
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Last modified
3/9/2017 9:51:22 AM
Creation date
3/9/2017 9:51:21 AM
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Address Document
Street Name
21ST AVE W
Street Number
10122
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• PERMIT APPLICATION <br /> ' BUILDIN e MECHANICA . PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St, Everett, WA 88201 425-257-8810 FAX 425-257-8857 vwNw-everettwa.org ' <br /> . <br /> SITE ADDRESS: , . PROP TY TAI tt • �{i d P . r r 'I <br /> �o <br /> LEGAL for now construction! Short Ptatiaubdtvtsion -Lot No (attach copy of long lege]assaiption) <br /> OWNER I r u,-2-7- <br /> L1,�7 PhonefFrrna]I ='r .:r" -L t ,•.'— <br /> Address t•i i .,.r �.s i:l i H-tj "ivy' Crtyist8t81ZJp 1,._�'.lei'ir'(" 1 1.�f. i c) <br /> APPLICANT:_Owner _Owner's Agent /'''- Contractor CorttraCtor`s Agent _Tenant trustwovkw a littler orcwosrnfrom the a n.to domole ill rho coo,* <br /> CONTRACTOR fSIhIh /AV //UV/ p(�i f /�)Sate LLic.# 1 oq;5--1 _kgvolplf�jCity Bus.tic-# 0�✓'3CV� <br /> Address l rbb /I ciari.s l E j k A i `.t l Ltit/ fi(/C�t gra0.5 phone/Email co 77""3 5UU waiti�/viQ[�l bl <br /> TErANT SUS1SS NAM . C A FOR/ <br /> 3a_l._. Act-40k_ . <br /> Ahorre/E-rnsii _ 'Q <br /> , ,, _....„ <br /> . . <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 2, <br /> aa <br /> Exieting Use of Building t 5 �'4 L _ - T HEAT SOURCE; - <br /> Proposed Use of Build • _Gas..... Elmo•- Other . <br /> fits-Ming type: Single Family ,Duplex Townhouse ,Multi-Family Commercial <br /> Type of project: New Addition Remodel Repair., T.I_ Sign Sprinkler Demolitlon,. Change of Use <br /> DESCRIPTION OF WORK(eddifionai space provided on the back): / t j �� <br /> (r /1 r rWwsrar r.: Ivak (J <br /> korrimiqc,fr Eepia-u__ , <br /> r M CHANICAL PERMIT APPLUCATION PLUMBING PERMIT APPLICATION <br /> Type of Project New Addn Alteration fr . Type of Project NGw .AUdn _,AUteratian_fiapeir <br /> Show Number 09 of fiztures ' '',':'-f- i r' f��-• Show Number f )of t xtures <br /> - -_....- <br /> NC—air handling unite • - - l Toilet <br /> Forted air systems — t Bathtub <br /> _O$s pipn®_ Levatoly�vvash basin)^ ..--4y \ ,L Water heater _ I Shower <br /> Gas Gfireplace .. Ktchen sink&disposal <br /> j Gas range _ ; Dishwasher <br /> , Gales dryer teethes washer <br /> 1 Range hood ( Water heater <br /> 1 1 Exhaust fen - •• Sink(seivice/bar/mopfetC.) _ <br /> • 1 _ Heat pump Backflow-preventer <br /> ] Unit heater _ I Donal _ <br /> i Boller • Drinking Fountain <br /> • <br /> F Refri•Nation ! Floor drain - t <br /> 1Woodstove i _Grease trap <br /> _Ducting I Roof drains _. <br /> d Other Medicsil Gas <br /> BPRINKIEER/SUPPRESSION SYSTEM-1 Other. <br /> Number of Heads d Other <br /> 1 hereby certify that I hevo/tad and examined This appfrration and d Www eke Rerne to be titre and conett AR pravtAon a of!Armand i ancec gtwemarg the type orwnrk wifi bo compI <br /> with whether specified herein or not.The granting of a permit does not presume to give am)*to violate or cannot the provision of any otter state or tote!taw remaining construction <br /> met! thortzad by the owner of bits property to the work rot-which application to made and t corrpty wRh the State Contactors.• 1827 RCW and 288200A WAC_ <br /> /' " i ►� /( <br /> Owne'.r/Authorized Agent Signature ata (Revised 0120.14) <br />
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