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PERMIT APPLICATI�N <br /> BUILDING ! MECHANtCAL / PLUMBING /SIGN /SPRINKLER / DEMOLITION <br /> CI i Y OF EVERETT PER�v1iT SERVICES <br /> :s2fiG i.EDAR STREET. EVFRETT,l'v'F,98201 <br /> (P)425-257-88 i 0 � FA�q25-25`-gS57 ;(E)everetieps�eve�att�ra.gov; Er:r,v.everettwa.govlpem�its <br /> {Biue or Btack ink Only Ptease) PROJECT SITE lNFORMATION <br /> PROJECT SiTE ADDRESS: ��G l.� ��C,G�1'�C.y ���- PROPERTY TAX�: (�V`-j 3 � (p�z j(:;\ �cc; <br /> LEGA�r�-ne:�:ce�structior. Shor*PlaVs�,,bd��,��sicn Lo;No _ (at:ach cocy o?'crg legai dsscr�pt�on) <br /> CONTACT INFQRMATION <br /> OWNER NAME: /V I j�k� c.`'�t-��; TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: s-�et� jc,�;�' (��a��,../ 5•r <br /> c:rr �\!' G��--fi-:f- srFre i/L`l'�' �r G(S Z c�1 <br /> OWNER PHONE: �-I�S -3 7�M- 2;j S � OWNER EMAIL: /�( {� <br /> CONTRACTOR NAME; NWBATHWORKS. LLC <br /> CONTf2ACTORAODRESS: 1882�-���-TH AVE NE <br /> , . ARLINGTON �-;,-=WA z;,: 98223 <br /> CONTRACT{?R PHONE: 425-418-9545 CONTRACTOR EMAIL: NWBATHWORKS@GMAIL.COM <br /> CONTRACTQR LtC�NSE#{REQUIR"cD}: N�NBAT6�855PA CITY OF EVERETT BUSINESS LiGENSE#(REQUIRED): 571$4 <br /> PRIMARY CONT�ICT: (�1 OWNER ❑CONTRACTOR C1 OTHER(Piease Specify) <br /> CONTAC7 NAME: CONTACT PHONE: � Z,� - �"7 t�_--z S S� <br /> ,/V+ tL IC-i �(:•� S {`�c v CONTACT EMAIL: <br /> BUILDING PERMIT APPLICATION <br /> Existing Use ofi Building: Contract Price of Work:S S11G0.00 <br /> Preoos2d Use o`Buildir�: Heat Source: ❑Gas �lectric ❑Other <br /> Building Type: ❑SFR-D2tacherJ ❑SFR-Attached ❑Dupiex OMulti-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑N2�� ❑Addition ❑RFmodel ❑Repair ❑T.i. ❑Sign ❑Sprinkler �Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> ��e-Y'1�t-� �� 5 c1 � �1�c-'�t"tr�+ C C.Ci�,.:f-u'- �,ti e s�-= U'�� V l-2,c-✓ <br /> ASSOCIATED BUILDING PERMIT#(i`a plicable): <br /> MECHANIGAL PERMIT APPLICATIOh PLUMBIAiG PERIY�fT APPLilCATiON <br /> Type of Project: �New _ Addn _Alteration _Repair Type of Project: Naw Addn Alteration Repair <br /> F of 7 of r of <br /> Fixtures ��st of Frxtures List of Fixwres �'°f List of Fixtures List of Fxtures <br /> Fixtures Fixtures Fixiures <br /> AtC-Air Hand:ing Uniis Heat Pu:np Toilet Backflow Preventer{Insfde Bidg; <br /> Forc�d Air Sys�ems Unii Neat2r Bathtub Urinai <br /> G2s Pi�ir:g Boiler Lavatory(Wash Basir,) Drinking Fountain <br /> 1Na,e;Neaf�r Refriaeration Snoti�:er Floor Drain <br /> Gas Firer�lace lfJcod Stove Krtchen Sink&Disposal Greaae Trap <br /> Gas Range Duct�ng p;st��vasner Roof Dr2ins <br /> Ciothes Dryer Hookups Oth2r. Gotnes Washer Medical Gas <br /> Rangc Noad Water Heaier Other: <br /> Exhaust Fan Sink(ServicelBar/Mop/etc.) Other. <br /> 5P�19�!€C�EEZ f SUPPRESSlOtd SYSTEM <br /> Cliemicai or Waier No.efi Heads <br /> L�CKiJOWLEDvE_:4EN?:J ha,r?,e:�ieured il7fS�aU(.C81f011 3RCI CO?ii7/r71(?iB tRfCrr,^,at�en cGnta6�ed i�ere:;>is trua ar,J correci. ;ha'r,dat2 p:.�rsuarF!c this��m;t m:ui comph;wi;t <br /> c�;r;c!r..:`e-CeraL star�.ar.d'ocai?a:v. ?he grar,G^�o;a perm i cr�7y aufi�rizes 2cp�tve.'3:"O!i E}i7G��)0 GlBvratioos Eh2.�efrcil.OBVt2!:Of;S Tt;:$1 i!/S7 uc d'J+(?G:lZP.CI f!Y l•:/7:1A�(1�f,7 jn2 <br /> L�';:!f�"!iy^�I/;Ctd�`J2i01�02.'AyC c�tli�'CR_>QC U17G�Q(3.'fj�C!I';;C:177S�dnC2. i 2i??1}?2 Oi4R@!;0/(aR7 BU;'l;cr,�ed�y:'IiE 06::1?Ef O�tn1S(JlCA@I:j f0 LF:'��Yf••7,`hE t:��f'n�O(�.�hich applica6on is made. <br /> 2!];i?Cv.^?r.t�•�:.i'i).n2 S:a:E CJ��lractor�La��;II 27 RCl1:'ar,d?95.200A;1�%.C. <br /> C:y or Ere�atf OHrcia;Use Only <br /> _ J - �(� - l � PE ` '������I� � i��� <br />