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01/03/2018 WED 12: 23 FAx Fast Water Heater 1010/012 <br /> 37)13 ??- -- <br /> PERMIT APPLICATION <br /> 7ABUILDING/MECHANICAL/PLUMBING f SIGN/SPRINKLER I DEMOLITION <br /> �_IT11:— <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98291 <br /> (P) 425-257-aB10 I FAX 426-257-8857 I(E)ev®rettspsOeverettwa.gov I www.evarettwa.gov/permlts <br /> (Blues or Black Ink Onl Pts®ase PROJECT SITE INFORMATION <br /> PROJECT SITE ADDREss: 14,2 Jn C1(1 5t se PROPERTY TAX#: 0 , 0 / I�U)D 3/po <br /> LEGAL for new construction: Short Plarleubdivlalon Lot No. (attaoh copy of long legal description) 11 <br /> • CONTACT INFORMATION <br /> OWNER NAME: WI) CjlAQji UQ(��, -�°�P/� TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: men' 1-(2(o -1 CO ;Ist`"1, ` lS-r ,� /]�V <br /> Crit i,i-e/reyt-t [AA O STATE � zIP 1 E 3 <br /> OWNER PHONE: LII ab----3 GI(i) 3 OWNER EMAIL: _ i <br /> CONTRACTOR NAME; fp ST. IAT e vk AT'EQ { - <br /> CONTRACTOR ADDRESS: STREET 1.5 / ►, P �`y S T r D <br /> erre e .91.\--k�% L.iSTATR. A . � ZIP r / <br /> CONTRACTOR PHONE: (-V 5 a , 110 : CONTRACTOR EMAIL: or g.W1 1T J Cf j WA ,*r. jaw <br /> CONTRACTOR LICENSE#(REQUIRED):'F/-Si' \,&)00711.1 )3G CITY OFEVERETT BUSINESS LICENSE#(REQUIRED)}45'3 <br /> PRIMARY CONTACT: C:1 OWNER KCONTRACTOR 0 OTHER(Please Specify) _• _ <br /> CONTACT NAME: /� ` �I CONTACT PHONE: "4 o? '3Lp <br /> ,,A.--it -�I v CONTACT EMAiL: y'',1- p> . k)dk 4'W cMvM <br /> BUILDING PERMIT APPLICATION <br /> ILExIsting Use of Building: 5 Contract Price of Work:$ i5 <br /> Proposed Use of Building; ( Heat Sauroa: 650as C]Eisatrlc 0Other <br /> Building Type: FR Detached ©SFR Attached Onupiex °Multi-Famlli of Units: DCommarclal• ©Industrial <br /> Type of Project: CiNew ©Addition DRemodel (,Repair DT.I.' OSign °Sprinkler C°Demolition I°Change of Use <br /> DESCRIPTION OF WORK: <br /> ff)tyl OW, / Y`e,p\ Ce. CI 11-S ii\-)OcA-eAr \A C atcr• <br /> A$$OCi,ITED BUILDING PERMepp <br /> IT#(if lloable): <br /> _... I.. Ilii ....- 11.1 Y.IV+ ••. i <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project; Now— Addn ,_Alteration _Repair Type of Project: New ,._,4ddn __Alteration , epalr <br /> #of <br /> Fixtures List'of Fixtures F/xtvras List of Fixtures Fixtures List of Fixtures Fixtures Liet of Fixturee • <br /> A/C-Ali Handling Unite Heat Pump Toilet Bacicfiow Preventer(Inside Bldg) <br /> Forced Air Systeme Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) • Drinking Fountain _ <br /> Water Heater RifriTeration • Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Dia•osal Grease Tra. <br /> Gae Ramos - .. —Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas _ <br /> Range Hood Water Fleater - Other: __ <br /> , ,Exhaust Fan Sink(SerVice/Bar/Mop/etc,� Other: <br /> • <br /> r�iemloal or .of Heade ' <br /> ACKNR WLEDGEM4NT`I have reviewed this epptioel/on and con,.km the information corsefiled herein is true end correct.Work done pu suanf to this permit must comply with <br /> current federal,stele,end local law,The granting of a permit only author/zee approved work end no deviariuns therefrom,Deviations must first be?Wheezed/n writing from the <br /> Building Official boleia being authorized undereny circumstance.I em the owner,or!em authorized by the owner of this properly to perforin the work for which application/s made, <br /> end i comply with the State Contractors Lew 18.27 RCW and 29020GA WAC. <br /> City of Everett Oficial Use Only <br /> IA <br /> I A 5 f( LPE9OLOI. <br /> g . .J <br /> Own uthor ze Ag Signature Date. •(ReWaed 9/23/2016 <br />