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PERMIT APPLICATION <br /> BUILDING/MCCHANICAL/PLUMBIf�G/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wv.rov.everettwa.org <br /> S � �-1 S <br /> SITEADDRESS: va0PEa7"iAXu 00576003200011 nE i <br /> ?�1118 ?9th svert ��S-�Q rj <br /> LEGAL br new cons�ructicn� Short PlaUsu6tlici;icn Lot No. (allaeh ccOY a�long!egai tlescriphon) <br /> OWNEP, '�C}C ��7CC�Cf Phonc/E-mail <br /> n,.;�,�;:: R919 [aslvic«•Ave C9yISla!e2ip l{veretl Wa 9R20R <br /> APPLICANT. _O��mer �vmefsAgeni _Comnaor _Con:raclor'sngent _7enam�n:,u�.o�e�r:;e-c�c:�crmi�ome�ov...�.e-ioe��.�.+��e.�.•.c.,�_,.�. <br /> CON7RACTOR �fastec \1'ireless Soluti;;ns staie t.�c. � CCNIASI'E1�SR'6KN c�ry e�s. uc tt <br /> � 1534:� i=arificl�l Ranch K�l t:hinu Hills C,a 91709 <br /> Addres�. Phone�Email <br /> TENANT BUSINESS NAMl: CONTACT FOR PERMIT <br /> A'l�&T I�anicl I3aum <br /> PnonerE-ma�i 20(i (�C 1-R053 <br /> BUlLD�NG PERMIT APPLICATION CONTRACT PRICE OF WORK S�Of� <br /> ErJsting U=e,of buitd�ng HEAT SOURCE: <br /> Pr000sed Use of 8uilding Gas Elecinc Other <br /> B�i.'�.7mg type� __Sinc,le Family _Duptex_Townhouse _MWtrFamily \ Commercial <br /> T pe nf pro�ecl�. New Add���ion Remotlel Re air � T.I. Si n S rinkler Demolihon Chan e of Use <br /> DESCRIPTION OF WORK (adrl.;�r,nal s�ice piovidaAorr me har.k�� <br /> 5 <br /> MECHANICAL PERMIT APPLICATION PLUM6ING PERMIT APPLICATION <br /> Type of Project: _New_AAdn _Alteration_Repair Type of Project _New_Atldn _Alleralion Repair " <br /> Show Number # o/fixtures Show Number a)ol�xtwes <br /> A/C—air handhn�unils Todet <br /> Forced air s slems Balhlub <br /> Gas i in Lavalo wash basm <br /> Water heater Shower <br /> Gas fire lace K[ichen s�nk 8 dis osal <br /> Gas ran e Dish�t�isher <br /> CiothCs d er Clo�he�washer <br /> Ranc e hood Wate�healer <br /> [xh�ust (2n Sinklservicelbarlmo !etc <br /> Heat um �ackilo•.v revenler pnside bld <br /> Unit heater Urinal <br /> Boiler Dnnk�n Founlain <br /> Refn eration Ploor Cram <br /> Woodstove Grease Va <br /> Duciinq Roo�dryns <br /> Olher t.tedical Gas <br /> SFRINKLER / SUPPRESSION SYSTEM Other: <br /> Number ol Heads Other <br /> I nr,aehy cen�ty Inat 1 h�ve ren�and e.amvtod ln5 aODl�cil�on an0 Anow 0 e�m»^_:'�Le Iru�ana cartect All prrvis.on,ol laws antl a^J�.n:Iqces govem�ng Un5 ry0e ol wnrA x,ll De mmp <br /> wqh�spnlhi:rspeciGedhereinnrnul Tnn9ranl-ngMapenn90oesnot0'UScin.;ion':,..�iilh^n:q�oviolaleorc:n¢r!ICepiovlsionolanyo�hersl.leorlocall�wm9ulalmgcm�simr.6ni <br /> T�nt I a;n a WM1ovetl by Il+v oarmr o111:�s oropertY h podo�m Uro�n� h In:xhrn app'uvu��is made ano I cernp��wiih Iho Slote CCrPaclors Law 18-27 RC�4'and 296.2001.V�.IC <br /> ��i,rr--e ��- �1i0�1 f `�Z <br /> OwnedAuthorized Agent Signature Dale (Revlsed�1,�?015) <br />