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• PERMIT APPLICATI�N
<br /> BUILDING ! MECHANICAL/ PLUMBIN� / S1GN / SPRINKLER ! DEMOL.iTION
<br /> CITY OF EVER=7'PtRf.3iT; SER�`::'�C�S
<br /> 32��:cDAR S i REF r, �VERrT" 'iv'F,';92��?
<br /> IP)A25-257-8610 ' FAX�25-�5fi-$85? {{E'J everettePsri�everett�va_raov i wrvw.�veretf�+-a gav%�er��is
<br /> {Blue or Biack Ink Onty Please) PROJECT S1TE iNFORMJ4TiOPi
<br /> PROJECT S1TE ADDRESS: �?' B'.adrvay,Eve�e?:,b�A. PROPERTY TAX#:Uv3�-54 i 8-'�1�?-;}U
<br /> LEGAL for nsw cons;r�c,.�r, Sror.�'a s c.;is c� ':c '�:�ta �:;;�`iona segal cesc�ip�ir,�; a
<br /> _ _._--- ___-- -__ __ . _ � ttached
<br /> CONTACT lNFURMATION
<br /> OWNEf2 NAME: � ENANT NAMf(ifi Commercial): EVefQtt COttl�1'IUI11tV COIIBgB
<br /> OWNER MAILING ADDRESS: �-�.ee� 2001 Westem Ave Ste. �3�
<br /> �� � Seattle ;T,,-r WA �� gg121
<br /> t]WNER PHONE: 2O6) 725-1�3O EXt ZSS I�- OWNER EMA1L_ W3I�C@f teutsch.com
<br /> CONTRACTOR NAME Vertical Visual Solutions
<br /> CONTRACTOR ADDRESS: srae�; 7036 220th Stree!SW
<br /> �,r,, Mountlake Terrace ;-,,��� �'�A z�,� 98C43
<br /> CONTRACTOR PHONE: ��5-361-1562 C4NTRAC70R EMAIL: ���JendaCe?verticalvs com
<br /> C�NTRACTflR LICENSE#!REOUiRcD;: y'ERTiVS910CZ CITY OF EVERETT BUSINESS LICENSE#jREaUIREO): 052i 32
<br /> PRIMARY CONTACT: ❑ OVJNER �CONTR,`�CTOR Cd)OTHER(Pisase Spec,fyy!_��3�_�t�.�1;�Ct{1t���f�h�t��ti_-_______—___—_
<br /> CONTACT NAM�: CONTACT PHQNE: 2Os-bT6-�640
<br /> r�ya Rojnuckarin cor��ra�T��nA��: ayar��ur�a;archit�ct�re.ccm
<br /> BUILDING PERMIT APPLICATION
<br /> Existin Use of Buildiny Contract Price of Work: S ���� ��'
<br /> Proposed Use of BUIlding Heat Sourre: ❑Gas ❑Electric ❑Otner
<br /> Buildinq Type: ❑SFR-Detached ❑SFi2-Atiached ❑Dup�ex ❑,ti1ult�-Famii -#of Units: ❑Commercial ❑Industrial
<br /> Type of Pro ect �New ❑Addition ❑Remodei ❑Repair ❑T I �Si n ❑Sprinkier ❑Demolition ❑Chan e of Use
<br /> DESCRIPTION OF WORK: �cistallation of hlonument Sign for Stude�!ruusing project
<br /> ASSOCIATED BUILOING PERMIT�;��apalicab,�.; :. s;�7-0!)�.
<br /> MECHANiCAL PERMIT APPLI TiON PLUMBING PERMIT �.1CATlON
<br /> Type of Project: New _ Addn _ __AItQr opair Type ot Project: _New _Ad teration _Repair
<br /> Fix�u�es tisc o1 Fixtures F,� ures Fixtu es Lisi o!Fixiusos Ltsi of Flxiuras
<br /> t'�'C-Air Har�dlin, Unds �� _ Toilet t �/ _ enter(inside E;dg)
<br /> Fen,e�Air SyStenu �/+�� 3athtu� �+y�
<br /> Gas P9pin � � Lavatory(Wash B � � �niaira
<br /> VVater Heater � � Showsr � � ir�
<br /> Gas Firepiace '��^��w � n .,:e Kitchen Sink �� � Trap
<br /> Gas Ran e � y D�sh;vash ' � f Drains
<br /> Ciothes � er +^lot7es � a�ica!Gas
<br /> Rar_ �Nat Ot�er
<br /> F.._xhaG � �:nk t � O(her
<br /> ,_�,,,__,._..�,
<br /> ��►
<br /> SPRINKLE � SION SYSTEM �
<br /> Chemicai or Wa. � Nc.of Heads
<br /> i�.CK1J0'.YL'cOGc',rEN�_ ^a.e ,�,�,;'vc-., � 3,;,r�,.�t�r�r�-�.,...,�;, - �.>�, �,•r at,.r :o�'a ned hsreir,ls N�e,�nd corract. Work dcno pursuant fo thls permit must c�mp;y wrth
<br /> current`adarel,s;a?e,and locr�l;aw The granhng o'e perrr+t orry authorrzas approved worti and r,a devit�tions thars7ron3 Dr,v�atran_must first be authorizod in wnb��g Irom rno
<br /> Building�ciel belore bemg authonted urrtlar any circumst2nCo /am lhm pwrrer,or 1 em authonzod by fha owner of th�s p;�;,;�:,�i,;!c pir�onn Ihe waic for which ac;.-r..;r�.r:s^:adc
<br /> and t comply with the Sfate Contractors Law 18.27 RCW and 296.200A WAC
<br /> C�cy ol Everett O�ciel Use Or�ry
<br /> / PERMfT�
<br /> �� S 2- b�
<br /> r/Authorized Agent Signature Oate (Ravrsed 9/?3/2Q16)
<br /> V p �. �
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