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1925 RAINIER AVE 2018-01-04
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1925 RAINIER AVE 2018-01-04
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Last modified
1/4/2018 11:13:21 AM
Creation date
1/4/2018 11:13:15 AM
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Address Document
Street Name
RAINIER AVE
Street Number
1925
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� � <br /> PERMIT APPLICATION <br /> BUILDING / MECHANICAL / 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 /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:' �y.7 �r,�� � � � � 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 '� TENANT NAME Qf Commercial): <br /> OWNER MAILING ADDRESS: srReeT � S"' <br /> / <br /> CITY ; ���� STATE`��� ZIP G �;�L(����. <br /> OWNER PHONE: �.(�(f.> � �' Z OWNER EMAIL: 7 � c . v(�Z�j ;/ '—•� • <br /> CONTRACTOR NAME: "' " � � ` � ' <br /> CONTRACTOR ADDRESS: srREET •C ' ' � �T <br /> � , <br /> cirv � i�! Z-l./ srnTE ` � ziP � - <br /> CONTRACTOR PHONE: �� ��� "� � � CONTRACTOR EMAIL: � �, � , '",,�,� { _ � <br /> CONTRACTOR LICENSE#(REQUIRED): (�L�y�� "(�, f�1 �� CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: C� '� J�/, 'J <br /> ��Z�(���^� �-� — ��E r CONTACT EMAIL: �►���"f' ! l i!�'1+� ,(� ) , .,%s /V , <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: � =�"'-� " � �r Contract Price of Work: $ � � `` " ? <br /> Proposed Use of Building: ;�v� Heat Source: ❑Gas f�Electric ❑Other <br /> Building Type: FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel R pair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: ��,w��,��� f,l��i�- �f/�IY��L�sda�'l�Gl�CJ..a ILII-1.���+`'��S � �!�-�:`_nG�C��--�. �a'�'►c�+'�"� <br /> � �'�L��-�� �'���f' (�'-��rG�i�'fV' � =� f�-3�.imV�'-�!I/i��'`�i(J'�'- �'�LT'y�-sL'�� J" �J�'✓✓!!'"�/z—lt��!'.. <br /> C`G���✓ �� ���►�► �,��-�v'�.��s � �='--���- �,�r�_ � �����''�r�:��-u �c�:� ��-,�'��rr�-���--� � <br /> �.�. <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 Fixiures #�f Lisi of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—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 1 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 1 27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> `���� � // �> �I (o� Z - UC� <br /> O erlAuthorized A ertit' ' nat ate (Revised 10/i2/2015) <br /> � <br />
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