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Aug 30 2017 08;03AM Washington Wat�aters 8663757454 pag� <br /> !'ERM17 APPLICA7'!ON <br /> BUfLDiNG 1 MECHANICAL I PLUMBING /SI�N! SPRINKL.�R/DEMOLITIt�N <br /> CITY OF EVF4ETT PCRMIT SERVICES <br /> 320b CEDAR STREE7,EVEREFT,WA 98201 <br /> (F')425-257-689p � �AX 425-257-8857 �(E)everetleps[a�everettwa.gov� wuwv.everettwa.govlpermits <br /> Blae or 81ack ink OnEy Please) PROJECT StTE INFdRMAT10N <br /> PROJECT SITE ADDk�ESS: I�D f- � �1./ PFiOPERTY TAX�!: <br /> LECyAL for new construction: Short PlaUsubdivision Lot Na. _„ (altach copy of iong legal description) <br /> CON7ACT INFURMATI�N <br /> OWN�R SVAME: � �(�7" TENANT NAME{If CommercEal); <br /> OWNER MAILINGADDRESS: STAEET (� <br /> cirr 51'a't� �- zia d GU �,�, <br /> OWNER PHONE: OWNER EIV�AIL: <br /> caNrRa,croR r��M�: �(./f�5f�(A�(�TG� �}-�pZ� NGt?T�2S <br /> CONTFt,4CTQR ADQR�SS: 97NEET ��r�r_-Y;`-�f� `� "�7-r-C�� ~' U}� 9�}� <br /> CITY ��,�� STATE �rJ 21p <br /> COt�t7RACT�R Pii�NE: �Z'7-��- CONTRACTOR EMAiI.: 'I� L IY��r�-+ LQYYJ <br /> CON7RAGTOR LICENSE#(REqUIRED): rj{�/�►-����d CITY 4F EVERETT BLSfNESS LiC�NSE#;REQUIRED): ,� � <br /> PRIMARY GOiVTACT: p pW�ER CUNTRACTOR C3 pTHER{Please Specify} <br /> CON AC7 Nf#ME� CONTAC7 PHONE: '�.��� 3-C�'g'7/ <br /> �'�+`-�-� ��� C- �S CONTACT EMAII.; �,(�{�i(fl},�jlL I`�'C_.����(.,.C�IYY� <br /> BUILDtNG PERMIT APPI,ICATION <br /> Exist;n Use oi 8uildin : Cvntract Price of Wark;$ ���U <br /> Proposed Use of Buildin : Heat Source: OGas ❑Eiectric ❑�ther <br /> BuildEn 1'ype: ❑SFR-�elached �R-Attached ❑Duplex OflAulti-Fami �ofUnits: �CorrtmEroial ❑Ind -- <br /> Type of Projeci: C�New f�Addition ❑Remodel ❑Repair OT,I. ❑Si n ❑S rinkler ❑�emofifion ❑Change ot se <br /> D�SCRIPTION OF WORKr <br /> �Z�O�- `t� S��Pt�i.C� I � S�'C�C� �U(,�-'Lv �C�.,.�-�°,�i'- <br /> ASSOCIA7ED BUiL.DING PERMIT� if a Iicable): <br /> MECHA�IIGAL PERMIY APPL[CATlON P�UMBING PERMIT APi>LICATION <br /> 7ype af Praject: ,�hlew Addn Alteration �Repair Type of Project: _New Addn _Alteraifon ,�Repair <br /> F/Mures �+st oJ Fixtures F/xtu es tist oi�ixtures �,fXt�3 L.iat of Fixiures Fixtures �15t uf Fixfures <br /> A/C-Air Handling Units Heat Pump Toilel Baekflow Preventer(Inside Btd ) <br /> Forced Air 5ystems Unit Heafer Rathtub Urinal <br /> Gas Piping Soiler Lavatary(Wash Basin) Drinking Fountain <br /> Water Heater Refri erafion Shower Floor Drain <br /> Gas F�replace Wood Stove K'�tchen Sink&Gisposal Grease Trap <br /> Gas Range aucting Dishwasher Roof Drains <br /> Clothes Dcyer Fiookups Other; Clothes Washer Medical Gas <br /> Range Haod Waler Meater Other: <br /> Exhaust Fan Sink Service/BarlMapletc.) Other: <br /> SPRIIYKL�R!SUPPRESStON SYSTEM <br /> Number of Heads <br /> ACFUVOWiEOGEMEN'I`1 have reviewed this app!icallon and cronflirn fhe informatlon conta/ned liereln fs true and careet Werk done pursvant ro this permit mus!comAly wiih <br /> cumen�fede�al,state,aioU kca!law.rhe granNnp of a p9rmil only euHro:izr�s approved wa�k and no deviations therefrom.aeviations m,ust firs!be aufhor'rzed In wrlting from the <br /> Buifdlne�0'rde!before being authorized under any clrcumsta !nrn the owner,or f am aothoNzed by fhe owner of lhls p�opeRy to perform the work forwhiCh applicallon!s made. <br /> � d J rnmply ivirb rha State Contractaa Lcw 18,87 RC W n 2 6,200A WAC. <br /> r City of Everett OHicfa!Use On7y <br /> ��j}�/ PERMI # <br /> ' . �1� �C.J � � �� <br /> nerlAuthorized Agent SI�naEure Date {f�evlsecl5/20I7.016J <br />