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PERMIT APPLICATI(3N <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/�PRINKLER/DEMOL;TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar S!., [verett, NJA 98201 -425-257-8810—FAX 425�57-8857—w�w�.everett�va.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM �J �a-� 3 <br /> SiiE aooRESS: 2�35 10TH ST EVERETT,WA 98201 PROPERTVTA%k Z9OS170OlO2OO P��M��p', _. ����"? <br /> LEGAL tor ne�.v cons!rudicn� Snort PiaVsuetlivaion 54&55 <br /> PAINEEIELQ?BLK Lo�No_ lattacn copY ol iong legal aesrnpt�.cn) <br /> OWNER SNOHOMISH COUNTY Pncne'Ema� (425)388-3219 <br /> - ------ ----------_.. . -- --- <br /> �aaress 3000 ROCKEFELLER AVE ciry�s�am�zip EVERETT,WA 98201 <br /> CONiRAC70R MACDONALD MILLER L&I Lir.it MACDOFS980RU 1231-13 <br /> AUtlrvss <br /> 7717 DETROIT AVE SW SEATTLE,WA 98106 Pno�e,ema�`206)768-4278 darladoll@macmilleccom <br /> TENANT BUSINESS NAME � � ��,����� CONTACT FOR PER611T DARLA DOLL <br /> EVERETT HOUSING AUTHORITY-GREENHOUSE P„��`,E.m�.,i (206)768-4278 darla.doll@macmiller.com <br /> SUILDING PERMIT APPLICATION CONTRAC'!PRICE OF WORK S 6,000.00 <br /> Ex:s!ing Use of 6uilding COMMERICAL/GREENHOUSE HEAT SOURCF�. <br /> Propnsed Use of Bwlding NO CHANGE cas Etecfr.c X_ otne�_ <br /> 6undmg type�. Singie Family _Duplex Townhouse _Idulti•Family X Commercial <br /> Type of project ,_New _Addition X Remodei _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DesCnFhon ol W ork(uC9a,ona�space p�ovided or,fho bach)' <br /> CHANGE OUT(1)ELECTRIC FURNACE,ADD(1)NEW SPLIT SYSTEM HEAT PUMP AND MISC DUCTWORK PER I <br /> PLANS. <br /> Have you started workinp wilhout a permit? _YES X NO <br /> MECHANICAL PERMIT APPI.ICATION PLUMBING PERMIT APPLiCATION <br /> Typc n�Prumct: New_Atltln �Alicratlo.i__Repair Type of PmjecC _kew_Adtln _Alicratlon_Re{Nir <br /> Show Number(tl)u/OeN�es Show NumCer(r!)o!lixm�es <br /> iVC—av handlinq units Toilet <br /> Forred air s stems � BalhWb <br /> Gas pipin I Lavatory(wash basin) <br /> Water heater Shovrer <br /> Gas Greplace � Ktichen sink 8 tl�sposal <br /> Gas ran^e I DiShwasher <br /> Clclhes dr er Clothes washer <br /> Ran e hoca � Water heater <br /> [shaust fan � Sint(servicelbadmopletc.) <br /> � Heat pump i Backflmv preventer <br /> I Umt healer I Urinal <br /> Boiler I Drnkr•,�� "ounta�.n <br /> Refrigeration I Flo; � <br /> Wocdstovo � Greas� :rap <br /> Uucting Roof drains <br /> � � Other ELECT FURNACE i IAediwl Gas <br /> SPRINKLER / SUPPRE5510N SYSTEM '. O�ner: <br /> Nur��bcr o(Heads �� Othec <br /> i r.acby cerb!y u�at i rav�r rea9:�n1 c+airvned Ins appii:a9en anJ hnr.:vtne same fo be�Ne and cartect All provisions ol iaws and G'dinancus gc:eming <br /> ;n��s type o!v�rk wi�i be ccmpne7 a+tnµhet�er sxuf.etl nere�n or nol The g�anbng ol a pertnit dees not presume Io give aulhonry lo viGate oi wncel <br /> ;"A�rpv;S�Cn ol any otne�slale or loG�l Idw regulaing conslNCOon o�Ine p"_rto�nan�e ol COnSINCliort T�at I am ButhoriZed by Ihe oHncr of Ihis prOpetly <br /> ..,;:eAo�m tFe�w:Y.fv'wri�ti appiicafion is matle an,1 I cemply vnln;hC Stzle Camru��tOrs Law 18 27 RCIN and 298 2CO WAC <br /> > � ,_,. � 07-2-2013 <br /> O.vnCdAuthorlietl A9enl Signa W rc qalc (Fevisetl7P_O7 iJ <br /> �� <br />