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3020 36TH ST 2018-01-11
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3020 36TH ST 2018-01-11
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Last modified
1/11/2018 10:39:59 AM
Creation date
1/11/2018 10:39:52 AM
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Address Document
Street Name
36TH ST
Street Number
3020
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� � <br /> PERMIT i4PPLICAT'ION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINI�CLER/DEIVIOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Ever�tt, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> 3 C�Z(; �L� ��i�t <br /> SITE ADDRESS: - � f�� L F � PROPERTY TAX# R MI #., -' <br /> - - �� o ,�c�� oo�3vc� ; � ���-' �?i �, <br /> LEGAL for new construction: Short Plat/subdivision rT � ' �I�� Lot No. (attach copy of long legal description) <br /> OWNER C � p �V�"��"� Phone/E-mail �Z S Z� ! —O���1 '��G t'�V��('✓ry���L�d� GL <br /> Address ��C�� �['C��IL� � ( � City/State/Zip ��(��'!""�� I.�L�/`t �G,� � <br /> APPLICANT:_Owner _ Owner's Agent _Contractor _Contractor�S Ag2flt _T2�8(1f(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR � '� � Ji,. State Lic.#✓!,`�..�,(�{�� I (� City Bus. Lic. #� - ti. .� <br /> Address r-�. � s�� % Phone/Email <br /> TENANT B SINESS NAME CONTACT FOR PER IT'� <br /> �'� � �� ���Lv / ' <br /> Phone/E-mail �j� �) `7"�tG'�1�������.:�.�„+�G� . ���' <br /> BUILDING PEI2MIT APPLICaT10N CONTRACT PRICE OF ORK � /Z � ;" �f <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Buildin l�L�u ('Y` S � 1c :1 �Y'i C� �4`4'i� Gas Electric/� Other <br /> Building type: Single Family _Duplex_Townhouse _Multi-Family�Commercial <br /> Type of project:,�New Addition Remodel Repair_T.I._Sign_Sprinkler_Demolition Change of Use <br /> by�::��;'�Rk�A�C��e �k= »1i�k�xC(additional space provided on fhe bacl<): <br /> �_ �Fr �S-t����� 3 � - ��y-h'n� l,f-�- 5���1 On �c�n V��I�C�( lo� ►'ltMl i v► <br /> � - •�c. S t�u- �o[,u-�C�►� <br /> p� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#J of fixfures <br /> 1 A/C–air handling units Toilet <br /> i Forced air systems ; Bathtub <br /> Gas piping I Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> ; Clothes dryer Clothes washer <br /> � Range hood I Water heater <br /> j Exhaust fan i Sink(service/bar/mop/etc.) <br /> j Heat pump Backflow preventer <br /> Unit heater i Urinal <br /> ' Boiler ; Drinking Fountain <br /> � Refrigeration ! Floor drain <br /> ; Woodstove � Grease trap <br /> Ducting j Roof drains <br /> ; Other � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM ; Other: <br /> � Number of Heads � Other: <br /> I hereby ceRify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing fhis type of work will be complied <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I am authorized by the owner of this pro rty to perform the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296200A WAC. <br /> �.�� `' �� <br /> �� �. ( ZC�' /.S— — <br /> Owner/Authorized Agent Signature ate (Revised 3/2013) <br />
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