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• , <br /> PER�IIIT APPLtGAT1UN <br /> BUfLDING 1 MECHANICAL t PLUMBING t SIGN!SPRINKi.ER!DEMOUTlON <br /> cdr�aF Ev��Err����siT sE�v�cEs <br /> 3200 CEDAR STREET,E1tERETT,WA 98201 <br /> (P}425-25?-881t7 j FAX 425-?57-&857 �(E}everefteps�everettwa.gov� w�vw.everet#wa.govtperrnEts <br /> 81ue ar Black inlc Only Flease P120JEGT S17E lNFORMATipN <br /> Pf�OJECT 3MT�ADDRESS:�""I�c� � �V`G��'�� ,Yl�{ �„ t.=��°i'«f '�...�'"t� t�°� PR4PEt2TY TAX#: <br /> LEGAL for new constructian: Shat PlaUsubdivision Lot No._ (attach copy af tong legal dssenpfioa) <br /> cow�Acr�r��a�nna�r�an� <br /> {7WNER NAME: /~c yy��(?;y- C=�'y�, 1,� T6NAhET'NAME{If Com rciai}: ���-f y-S�f1 �,.� }`" t-' +�t� <br /> OWNER MAll.IWG ADORES5: s�Ree f�i'� ����= �:Y���� '; � � p�'i F��t�f� °�..:��'-� <br /> crrv �''��1" srnre -J``? zm ��"t�'$��� <br /> OWNER PHONE: �-(� � �'t �"�LJ`-� OWNER EMAIL: G� YVL��!'" > �a�L =��, �,,, (�'�, � <br /> C(3NTRACTOR NAME: l;: �,. "�✓ '� `�-- � C�� ib t�' <br /> CQ(VTRACTOR ADDRESS: sTR�r �� (rk� �, <br /> �ITy �. � S7AT[ V � ZIP iT��'�� <br /> CONTRACTOR PHONE: "'t Z�� "��'lt t> TOR EMAlL• 7 � �.✓ ) ' li Y'�cL��'Yt ; _., <br /> CQN7'RACTUR LICENSE#(RE Q}: r���,,:�p�' E,��� G I� O�EVER BUSINES3 lCENSE#{REQ FCEQ}: ��?� y ."�" � ��+ <br /> PRtMARY GON7ACT: C7 d R{Piease Specity) �— <br /> CONTACT NAlNE: ,�.~_-- _ t��w �'G.� � ��� <br /> c�.��T"i l J �� ' {� CONTACT PHa1NE: � � �. <br /> �, iYc� ��F�� ��� �C'%��dlt..G' �.,L,-��. CONTACT EMAE�: �, �;, �.s ���." p . � °'�,�r'_; c.. t�- » r- <br /> BUILDlWG:PERMIT APi�'�IGI1TICl�t <br /> Existin Use of 6uiidin : �ontract t�rtce of iN :S " <br /> Proposed Use of Buildin � Heat Source: C7Gas c <br /> Bui€di T ; I�SFF2-Detached �SFR Attact�:d �Qu !ex C1Mufti-Famity-#of Units: OCommarciai ❑indusirial <br /> Type of Project: C1New C7Addition ❑Remodei ORepair CIT.i. ❑S� n 1�Sprinkler L7Demolition QCha e af Use <br /> D IPTI4N OF WORK: <br /> � � �` ( � � <br /> �—���CLL�� � ��� J �w�� ���� �.(� v <br /> A CIATED BUILDING PERMIT# if a ticabie: l� <br /> MECHANICAE PlRMIT'APPCiCATIt3N1 Pi.UMBING P�iRM17`APPLICATION <br /> Type of Project: _,New Addn Alteration f(epeir Type of ProJect: New �„Addn _Atteration _Repair <br /> �+�u eS Clsi of Ffxtures Fj��� Zist of Fixiures Fl�ures l�sf oi Fla4urea ���G�S Lfsf of Frxiures <br /> A!C—Air Handling Units Heat Pump Taitet Backflow Preventer(Inside Bld <br /> Forced Air Systems Unit Heater Bathtub Urina{ <br /> Gas Pipin Boiler Lavata (Vlfash Basin Orinkin �aunkain <br /> Water Heafer Refri eration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Oispasai Grease Trap <br /> Gas Ran e Ductin Rishwasher Root Drains <br /> CdaEhes d et Hooku s Other_ C(othes W�shsr PAedical Gas <br /> Ran e Hood Water Heater U#her. <br /> Exhaust Fan Sink(ServiCe/BadM etc. f3ther: <br /> SL�RI�K4EE�#SUPPRlSSIOM SYST�M <br /> Number of FEeads <br /> AGKNQWtEDfiEMEN7!have reviewred this apptication and contrrm the iriJormation confainet!herein is hus and cnnect.Work done pursuant ta this pemst m�sf com�y u�th <br /> current federat,stats;and locaf taw.Ttie granting of a permit onty authorizes approved wark and no de��{ians thersfmm,peviations must nrst be au2ho»ascf rn wrifirrg from the <br /> Suitding Olficiai betare beirEg aut umier arty circumstance.1 am the awner,or 1 em authatized by U�e owner ot this praperty to periam the wark for which ap�icafion!s ma�, <br /> and t comptywith the Sta��Cunt,ra„ Law f8.27RGVt'and 296,200A WAC. <br /> /�....--_-,." CatY of Evereft OAicr�i ttse On1Y <br /> �-�`-�°��"�---�.�,.,:�-.--.. _. _ �ERn�tr#�l�+�—��( ""— <br /> ��..�r---� �.� <br /> o�,�!!Aulh�-ri'�"ent Srgnature Date /�y!sed9/7�24161 <br /> �� <br /> r— l <br /> _�_ _� �� <br /> �. <br /> ��� <br /> � � �� � � - ��: � <br /> .-��.�.w�� .� v ��� <br /> �£. <br /> � <br /> � <br />