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PERMIT APP�ICATIOI� <br /> BUILDIN�ECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STFtEET,EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 ((E)everetteps@everettwa.gov� www_everettwa.govlpermits <br /> ���o�������o� t����. _ ��E�r�����ar���� <br /> PROJECT SITE ADDRESS:607 SE Everett Malf Way, SUIt@ Z9 PROPERTY TAX#: <br /> LEGAL for new cons#ruction: Short Piattsubdivision Lot No. (attach cbpy of long legal descri tion <br /> ; �� ��� ' � <br /> rt= ` , . .CONTAC7'MNF�RIMIAT�t,�i!�": ' <br /> OWNER NAME: NW Prime Properties c% Parker Property TENANT NAME(If Commerc' )�r <br /> OWNER MAILING ADDRESS: STREET 13110 NE 177th PI, #97 � <br /> cirv WOODINVILLE STATE WA ZP 98p72 <br /> OWNER PHONE: 425-605-7831 OWNER EMAIL: Ka#ie@parkerpropertylic.com <br /> coNTRacroR NaMe: ROBINSON PLUMBING INC <br /> CONTRACTOR ApDRESS: STREET 29330 124TH AUE NE � -- Q <br /> cirv ARLINGTON STATE WA vP 98223 <br /> CONTRACTOR PHONE: 360-403-7462 CONTt2ACTOR EMAi�.: ROBINSONPLUMBINGINC�GM <br /> co�TRac�'O��.«:E�S€#�ReQ�FRE�>: ROBtNP*Z72�2 C1'TY OF EYERETT BUSIPIESS L10EfJSE#( RED):OQSQg$ <br /> , . ,. �. ..r_ _ __ .... , <br /> PRlMARY CONTACT: pJ OWNER ❑CONTRACTOR ❑OTHER(Please Specifyj <br /> CONTACT NAME: CONTACT PHONE: 4.25-508-3459 <br /> KEN R�BINSON-ELMSUE CONTAGT EMAIL:robinson inginc@gmai�. m <br /> - ����►�����RT��������. � � � t <br /> : ; , <br /> � ,,. F , . �, ��� �,. <br /> Existin Use of Buifding: COIT1meeGl�l Contraat Price of ork: 200.Q0 <br /> Proposed Use of Building:CommerCial Meat Source: as ❑Electric Other <br /> Buildin T e: ❑SFFt-Detached ❑SFR-Attached ❑Du lex OMulti-Famil -#of Units: jZlCommercial Cllndustrial <br /> T pe of Pro'ect: ❑New ❑Addition ¢1Remodef ❑Repair ❑T.1. �Si n �5prinkler ❑Demolition OChan e of Use <br /> DESCRIPTION OF WORK: <br /> Re-instafl bathroom lava ies that were removed for remodei <br /> ASSOCIATED BUILDING PERMIT# if a licable : B1 7-023 <br /> ��N��CHA��lr,i�r�:,PERMIa"AP�`L,1CA' t1�!1'��. � ', �!L,�lfl1$1�1�';�?'�`1�`�11'f"ARN'�.1�."/�,�`1�1M�1, ,•',�: <br /> k <br /> n=; <br /> Type of Project: _New Addn _Alteratio Repair Type of Project: _New _Addn _,Alteration _Repair <br /> #of list of Fixtures #of �of Fixfures #of uy.�of Fixtures #of uy�of Fixtures <br /> Fixtures Fnctu s �ntures Fiutures <br /> A!C—Air Handlin Units Heat Pump Toilet Backflow Preventer(tnside Bld <br /> Forced Air S stems Unit Heater Bathtub Urinal <br /> Gas Pi ing Boiler z Lavato (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 Dry Hookups Other: Clothes Washer Medical Gas <br /> Rar► Water Heatec Other: <br /> Exhau Fan Sink SeroicelBar/Mo /ete.) Other: <br /> SPRINKL�R`!SUPpRE5S10M Slt"S7`EM <br /> Number of Heads <br /> ACKNOWLEDGEMEM'l have reviewed fhis application and confrrm the information contained herein is frue ar�d conect.Work done pursuant to this permit must cromply with <br /> current fecferaf,state,and local law.The granting of a permit on/y authorizes approved work and no deviatians therefrom.Deviations must�rst he authorized in writing from the <br /> Building O�cial before being authorized under any circumstance.l am the owner,or I am authorized by the owner of this property to peAorm the work for which application is made, <br /> and!comp/y with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Onry <br /> � �`g�� P ��g� �� <br /> OwneNAuthorized Agent Signature Date (Revised 9/23/2016) <br />