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PERMIT APPLICATIdl <br /> BUILDING MECHANICAL I PLUMBING I SIGN I SPRINKLER 1 DEMOLITION <br /> 'CITY O . VT-PRiiii.t"f ER111t <br /> CE ?AR.STREETg: VEREU.WA 98201 <br /> (P)425-2574=.40 I FA 25:7 •=aa7 110-livertiteipAavereitee.gov i wetoheverettwa.govinentits. <br /> (Blue or Black Ink Only Please) P :OJRCT SITE.II FORMATIO <br /> PROJECT SITE ADDRESS: 11" . _ t. Ili R f.3!P IR `1t' A .i ; .• -MO <br /> LEGAL for new cansauction, Start Ptatisui eiavisron Lot No t(attach copy of long l i iri sciipti rkl <br /> CONTACT INFORMATION <br /> OWNER NAME: Co11.11 , . TENANT NAME(if Commercial): I ' <br /> OWNER MAILINLt G ADDRE • <br /> SS..$S STREET .' ,k- „,,,,, <br /> • ' <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME; ammhiaa ,. , <br /> CONTRACTOR ADDRESS STREET .' p ...... <br /> arry , f <br /> CONTRACTOR PHONE:L. 5 4!)f CONTRACTOR-EMAIL'CTOf EMAIL. ,'14111r: "f, (6141. <br /> CONTRACTOR.LICENSE RE£ t D1,, CITY OF E ERETTBUSINESS.., LICENSE#(REQUIR GI <br /> PRIIVIARY CONTACT: 0 OWNEW li CONTRACTOR 0 OTNEP:Ple se Specify) :.: <br /> V <br /> top - ,,,,,r77 CONTACT EMAIL = nr-eg ' _.� <br /> 'Si,++ Ali Ioti ` <br /> BlIIL.DING PERMIT APPLICATION <br /> -Contr t Pilot*of Work: _ ; <br /> Propttsotf Use of Building: 6/A. 1 Heat Source: Gas• 0Electrio OOther. —._. <br /> Building Type: , FR-D tached, OBFF3.-Attacned. Llouptax 0Multi-FamIty4 of Units:— T 0 mmercial CD ndustria <br /> Type of°PrCoject: `Clew DA di$ion Rat'rtodel O epair DTI. D tgd 0.pt nkter ODer e iitioi 0 change of Use <br /> DESCRIPTION OF WORK: <br /> ,‘,e{„...ASSOCIATED B ILDIfeiyttktf <br /> PERMIT ft r -applicable): <br /> MECHANICAL PERMIT APPLICATION PLUIVIIIIOICI PRRMJT APPLICATION <br /> Type of Project:+ New Attain iteration R r. Type of•Proitiiot; New ®Aden <br /> Atteretlttrti _Repair <br /> #of Rist of Fixtures ot` L at Of Fixtures of Leat ofFixtures #°f List of Fixtures, <br /> Fixtures Fixtures fixtures Fix tures <br /> NC–Air Handling Units T ."I4 t.Furnp Toilet peokfiew Rreventer(l aside Bldg) <br /> Forced Air S sternst.In Heater .Battdbb Urinal <br /> Gas PipinBoiler ,Lavatory(Wash&lain)_ 7 , ... .I rinkingEountaii' <br /> i Water-neater , ' R frigero n er Floor Drains <br /> Gas Fireplace 'wood Stove 4k erri Sink&Disposal Grease Trap <br /> Gas Range gating Dishwasher orsf brains <br /> T Clothes Dryer Hookups -Other /CIolltes Washer Pwledical Gas <br /> Range HoodWater Heater Other: <br /> Exhaust Fan Sink erviceIBara`l+ pffta.1- Other: <br /> SPRINKLER I. UPPREION SYSTEM <br /> Iwumber of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application eerir:e:erm i e Infortmtion oentoined herein Is tnae;.end terreet Worn done perscwnt to this;permit mnst.comzly Matti <br /> current federal,state,and local law The trotting of a parmono,aa fth wises approved work and no deuiatioris therefrom,Dewsh+ortm€ a,st fire be authorized rrr writing frot lit <br /> Building Official before btrrrg authorized under arty circumstance.lam the owner,,or tam authorized by the owner of this property to perform dee worn for which appticatkm is wade. <br /> and 1comply with the State Cance r $2 RQWark P&200AWAD <br /> n afew! Coity of Everelt Off!plat Use batty <br /> –Alit' 0,, I of 40,01\st, ..,:, , <br /> 11 pAlNot h omit .- 1. <br /> r harried Agan , .,a r 1: n.t vr <br /> iaed' 2O 1 al <br />