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� r�una�ng �y�4 � <br /> ''I PERMIT APPLICATIO <br /> BUILDING�IGI�CHANICAL J PLUMBING /SlGN�RINKLER/QEMOLITION <br /> CITY OF EVERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P�425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everetNva.govlpermi�s <br /> (Bfue or Black Ink Q�nly Piease) PRCiJECT SITE INFORMATiON <br /> PROJECT SITE AbDRESS: �OO W CaSIIlO RD, Everett, WA 98204 PROPERTY TAX#: 003921000�04fl1 <br /> LEGAL for new construction: Short RlaUsubdivision Lot No. {attach copy of long legat description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Trailside Preservation LP TENANT NAME{If Commercial): <br /> OWNER MAILING ADDRESS: S,�E� 21515 Hawthorne BLVD. Suite 390 <br /> �,� Torrance STATE WA � 90508 <br /> OWNER PHONE: $'I O-$OZ-G6HZ OWNER EMAIL: Nick Preservation artners.or <br /> coNrw►croR Nane�: Holmberg Company <br /> CONTRACTOR ADDRESS: srneEr 1128 8th st <br /> �R„ Kirkland �A� WA � 98033 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#{REQUIRED): HOLMBC*066ME CITY OF EVERETT BUSINESS LICENSE�{REQUIREd): OFJ1 003 <br /> PRIMARY CONTACT: �OWNER �CONTRACTOR ❑OTHER{Please Specify) <br /> C�NTACT NAME: Jr'1COIJ KI@Itl CONTACT PHONE: Q,2J�-��2'-]37� <br /> coNrACT eMa�: JacabK�hoimber co.com <br /> BUILDING PERMIT APPLICATION <br /> ExisGng Use of Buildin : Contract Price of Work:S 1400 <br /> Pro sed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other <br /> Buildin T : ❑SFR-Detached ❑SFR-Attached ❑Dupiex ❑Multi-Famil -#of Units: ❑Commercial ❑Industrial <br /> T of Pro ect: ❑New ❑Addition �Remodel ORe ai� ❑T.I. ❑Si n ❑S rinkier ❑Demolition ❑Cha of Use <br /> DESCRIPTION OF WORK: �,L�,.���� ��� ���(,�.�� �K 4� �� 1�, q,.,� ��'o�- <br /> Gh�'��, `� v iv�.� <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> MECI�IANICAL PERMIT APPLICATION PI.UMBING PERMIT APPLICATION <br /> ype of Project: _New Addn X Alterstfon _Repair Type of Project: New Addn Alteratfon _Rspair <br /> #of �,jst of�xfures ��r List ot�xtures #of List of�xtures #oi list of Fudures <br /> �xtures Fixfures Fixtures Flxtures <br /> AJC—Air Handiin Units Heat Pump 7oilet Backflow Preverrter Inside Bld <br /> Forced Air S tems Unit Heater Bathtub Urinal <br /> Gas Pi in Bailer Lavato ash Basin Drinki Founfain <br /> Water Heater Refri eratian Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Dis osai Grease Tra <br /> as Ran e Ductin Dishwasher Roof Drains <br /> Clothes D er Hooku s Other. Clothes Washer Medicat Gas <br /> Ran e Hood Water Heater Other. <br /> Exhaust Fan Sink Service/Bar/Mo letc. Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT.'I have reviewed thls appficatiar and co�rm the information contefned herein Is true and conect.Work done pursuani to fhis permit must comply wlth <br /> cu►rent federal,state,and local!aw_The grenting of a permit onty aulhorizes approved work and no deviations therefrom.Devfatlons must flrst be euthorized in wrifing from the <br /> Building Official before being suthodzed under any circumatence.1 am the owner,or!am aulhorized by the owner of this property to perfam ihe wvrk iar whkh applicefion is made, <br /> and!comply with ihe Stafe Contractors Law 18.27 RCW and 296.200A WAC. <br /> Cky of EvereK Qlftciaf Use Oniy <br /> CQiliv! �/ PERMIT# �r <br /> �/ �� � �O <br /> OwnerlAuthorized AAent Sipnatu�e Date (Revised 9/23/20161 <br />