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�' t�ui�ding #y6z � <br /> �I' I_ PERMIT APPI.ICATION <br /> BUILDING�R�cHANiCAL!PLUMBING /SIGN /I�I�INKLER J DEMOLlT10N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EYERETT,WA 98201 <br /> ' (P)425-257-8810 � FAX 425-257-8857 �{E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> (Blue or Black ink Only Piease} PROJECT SITE INFORMATIQN <br /> PROJECT SITE ADDRESS: 900 W Casino RD, Everett, WA 9S2O� PROPERTY TAX#: 0039210000040i <br /> LEGAL for new construction: Sfiort PlatJsubdivision Lot No. (attach copy ot long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TCaIISiCI@ PfeSENBtIOC1 LP TENANT NAME(If Commercfal): <br /> OWNER MAILING ADORESS: S�E� 21515 Hawthorne BLVD. Suite 390 <br /> ' �,TM Torrance STATE WA Z� 90503 <br /> OWNER PHONE: $10-802-E6SZ OWNER EMAIL: Nick Preservation artners.or <br /> CONTRACTOR NAMEc Holmberg Company <br /> CONTRACTOR ADDRESS: srnEEr 1128 8th st <br /> �� Kirkland �A� WA Z+P 98033 <br /> CONTRACTOR PHONE: CONi'RACTOR EMAIL: <br /> CONTRACTOR LICENSE#{REQUIRED): HOLMBC*066ME CITY OF EVEREIT BUSINESS LICENSE#(REQUIREDj: D�J1 OOS <br /> PRIMARY CONTACT: �OWNER �CCINTF2ACTOR ❑OTHER(Please Speaify) <br /> CONTACT NAME: J�COb K�eln CONTACT PHONE: 42�J'-6{�2-]370 <br /> CONTACT EMAIL: JgCOI�K Ci Il0{t11I�@C CO.COt11 <br /> ' BUlI.DiNG PERMIT APPLICATIQN <br /> ExisGn Use of Buildin i Contract Price of Work:S 1400 <br /> Pro osed Use of Buildin : Heat Source: ❑Gas DElectric ❑Other <br /> Buildin T : �SFR-Detached ❑SFR Attached ❑Du lex ❑Multi-Famil -#of Units: ❑Commerciai ❑Industriat <br /> T e of Pro'ect: ONew DAddition ❑Remodel ❑Re air ❑T.t. OSi n �S rinkler ❑Dem�lition ❑Chan e of Use <br /> DESCRIPTION OF WORK: �,`��`� ��rn ���/�� �„4� �� 1�, � ��'a�' <br /> Gh�.��� � ° <br /> ASSOCIATED BUILDIN'G PERMIT# if a licable : <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProJect: _New �' Addn X Aiteration _Repair Type of Projeet: New Addn _AlteraHon _Repsir <br /> #of Lisf of�ittures #°f L}st of�xtures #of tist of�xtures �°f List of flxtures <br /> Fixtures �xtures Fixtures Fixtunes <br /> NC—Air Handiin Units Heat Pump Toilet Backflow Preventer Inside Bid <br /> Farced Air 5 'tems Unit Heater Bathtub Urinat <br /> Gas Pi in Boiler L.avato ash Basin Drinkin Fountain <br /> Water Heater ' Refri eration Shower Floor Drain <br /> Gas Fire lace' Wood Stove lGtchen Sink&Dis osal Grease Tra <br /> Gas Ran e Ductin Dishwasher Roof Drains <br /> Clothes D er Hooku Other. Clothes Wasfier Medical Gas <br /> Ran e Hood ' Water Heater Other. <br /> Exhaust Fan � Sink Senrice/Bar/Mo /etc. Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this appffcation and confirm the informaUon contelneB herein ls true end conect.Work done pursuanf to this perrnit must comply with <br /> current federaf,sfate,and loca!law.The grarrting of a permR only authorizes approved work and r+o deviations the�efrom.Deviations must first 6e euthorized in writing from the <br /> Building OAScial before being authorized under any circumstance.J am the owner,or!am authorized 6y iiie owner of this propeMy to perform[he work for whlch appiicetion is made, <br /> and!comply�vith the State Contractors Law 18.27 RCW and 296.200A WAC. ' <br /> , Cky of Everett Officia!Use Only <br /> �/��� P MIT# O - ^� <br /> L <br /> '�L.J <br /> Owner/Authorized Apent Stpnature Date (Revlsed 9/23/2096) <br />