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922 W CASINO RD 2018-04-20
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922 W CASINO RD 2018-04-20
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Last modified
4/20/2018 10:30:43 AM
Creation date
4/20/2018 10:30:42 AM
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Address Document
Street Name
W CASINO RD
Street Number
922
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PERMIT APPLICATIOI� <br /> BUILDIN�CHANICAL/ PLUMBING /SIGN ' �RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> � �� � � � � � ,: e.= ,� ., s��, �, <br /> ��� �����c� .���+',��a� � � �„a� _�� � `�a� �,>. :a,� - <br /> , � <br /> a���,.. � �� <br /> PROJECT SITE ADDRESS: 9OO W CaSIC10 RD �a PROPERTY TAX#: 003921-000-OO4-Q1 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> -�:�''s �:'"'� �ry ''¢��S s��" �"+"- u��;`'° ^x`rM�"r '� r �-'�J„+k�s " t`.* T �:�; �"'�r �"`� ;�.Fi T�C .xp�¢. � ��i�.`.z�k�a^id�.r'rv,",'r'� � _ <br /> ��:. r �. �,;�".','-��':"�,_� ���aa , �r ���i��� 3� ,�� �g���� � ��`� z� k,'� a�s ��E�'�x � � <br /> �s�..�:�,� �- � �����. �,r� ,��* �. �..w� ��.� t�.�,�;��„ �.v Y� .-�w�� ���'� <br /> � <br /> OWNER NAME: PafkSICI@ AC uisition Preservation 7ENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srneeT 21515 Hawthorne BLVD STE 395 <br /> ��TM Torrance STATE CA Z�P 90503 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: HOIR1bG'f �'i0. <br /> CONTRACTOR ADDRESS: SIREET 1128 8th St E <br /> ��n Kirkland STATE WA Z�P 98033 <br /> CONTRACTOR PHONE: 4Z'rJ82ZZZ33 CONTRACTOR EMAIL: JaCOIJK C' I10I111I�@CgCO.COI11 <br /> CONTRACTOR LICENSE#(REQUIRED): HOLMBC*066ME CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): O�J1 003 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> � �..�.` ( '.� fl, s „� 1Y g,-*.t-f fi"�l�.`*-.*.k=�- �m s.. 5.-:.*;s�z.,�,. ■.. . s�wzz;� .J` a5 �'- F v7" �. 4, :�w �,.; �,w,:,� g� <br /> �'`� �5��_C �_. �.k. Y:v� �� .:�� � ������`��c. ..� :Frs �,�.a.�,„u��u.���.�'tv�4� ��.C«f$hF'j+n�k"C�'�r� X ��A v�.5� �� . <br /> Existing Use of Building: Contract Price of Work:$ <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: �Commercial ❑Industrial <br /> T pe of Project: ❑New ❑Addition �Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ' ❑Ghange of Use <br /> �escRiPrioN oF woRK: Replacing Fixtures Like for Like with no Modification <br /> to Rough in. <br /> ASSOCIATED BUILDING PERMIT#(if applicable : <br /> ;�.�� `���a� '�� �Ri���f�►��.���►�r�o���;=;: �`�� ����:, ���.�� ���r���tn�ir�►��,���'��`�r�,�-tt���.�,h���.� <br /> ��►� <br /> � _�...,_F�r �. __: s <br /> Type of Project: _New Addn _Alteration _Repair Type of Project: _New Addn _Alteration _Repair <br /> #of List of Fixtures #�f List of Fixtures #of ��st of Fixfures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler t� Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Q. Sink(Service/Bar/Mop/etc.) Other: <br /> r��� �:.� ��� �;�5��,�I����..��I.�RI�.,�'�.`����`�`� h' <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT.•I have reviewed this application and con�rm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and/ocal law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building O�cial before being authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett O�cial Use Only <br /> PERMIT <br /> l����-�b �� <br /> Owner/Authorized Agent Signature Date (Revised 9 3/2016) <br />
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