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� • <br /> PERMIT APPLICATION <br /> BUILDING /MECHANICAL I PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> {P)425-257-8810 � FAX 425-257-8857 �{E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> (Biue or Biack Ink Only Please PROJECT SITE [NFORMATION <br /> PROJECT SITE ADDRESS: 211 Capri Place, Everett, WA 98203 PROPERTY TAX#: <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> owNER NAnnE: Paula Townsell/Christopher Glans TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srREeT 211 Capri Place <br /> r,iTv Everett sTnre WA zia 98203 <br /> ; OWNER PHONE: 425-290-7529 OWNER EMAIL: potownsell@gmail.com <br /> ', CONTRACTOR NAME; NW Wind &Solar (A DIVISION OF SME, INC. OF SEATTLE) <br /> CONTRACTOR ADDRESS; slReer 828 Poplar Place South <br /> cin, SeSttle STATE WA ziP 9814 <br /> CONTRACTOR PHONE: 2Q6-391-2603 CONTRACTOR EMAIL: consueloC@nwwindandsolar.Co <br /> CONTRACTOR LICENSE#{REQUIRED); SMEINS"066DB CITY OF EVERETT BUSINESS LICENSE#(REQUIRE : 030205 <br /> ^ PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> ' CONTACT NAME: CONTACT PHONE: 206-391-2603 <br /> Dickson Harding, ProjeCt Manager CONTACT EMAIL: consueloc nwwindandsolar.com <br /> BUILDlNG PERMIT APPLICATION <br /> Existin Use of Building: Contract Price of Work. Z,Ofl0.00 <br /> Pro osed Use of Buildin : Heat Source: �Gas Electric Other <br /> Buildin T pe: ❑5FR-Detached �SFR-Attached ❑Duplex OMulti-Famil -#of Units: ommercial ❑Industrial <br /> Type of Pro'ect: ❑New �Addition ❑Remodel ❑Repair ❑T.I, ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: ns a ing . sys em an rao op. <br /> ;. <br /> ASS4tGIATED BUILDING PERMIT# if a Iicable: <br /> MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration Repair Type of ProJect: _New Addn _Alteralion Repalr <br /> Fixtures ��st of F)xtures Fi�res List oi Fixtures ��f Llst of Fixtures #of ��st of Flxtures <br /> Fixfures Fixtures <br /> A/C—Air Handlin Units Heat Pump Toilet 6ackflow Preventer Inside Bld ) <br /> Forced Air S stems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory{Wash Basin) Drinkin Fountain <br /> Water Heater Refri eration Shower Floor Drain <br /> Gas Fireplace WOod Stove Kitchen 5ink&Dis osal Grease Trap <br /> Gas Ran e Ducting Dishwasher Roof Drains <br /> ? Clothes Dr er Hookups Other. Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fen 5ink(ServicelBar/Mop/etc.) Other. <br /> SPRINKLER!SUPPRESSION SYSTEM <br /> Chemical or Water No.of Heads <br /> , ACKNOWLEDGEMENT:1 have reviewed this application and confirm[he in(ormation contained herein is true and correct.Work done pursuant to this permit must comply with <br /> curient federal,state,and local law. The g�antrng o(a permit only authorizes approved work and no deviations therefrom,Deviafions must�rst be authorized in writing Irom the <br /> Building Official before being aulhonzed under any circumstance.1 am the owner,or I am aulhoiized by the owner of this property to per(orm[he work for which application is made, <br /> and I comply with the S[ate Contractors Law 18.27 RCW and 296.200A WAC. <br /> G�ily ol Everel!Oflicial Use pnty <br /> ' PER <br /> '� .r' .��... '7' 2� 1�? �l�fl� �- �S� <br /> - Owrte►IA t�r' d�7�ge t ign re � (Revlssd 5/2312(Jt6) <br /> i <br /> C'^� <br />