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25 E MARINE VIEW DR 2018-05-24
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25 E MARINE VIEW DR 2018-05-24
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Last modified
5/24/2018 9:24:44 AM
Creation date
5/22/2018 1:26:11 PM
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Address Document
Street Name
E MARINE VIEW DR
Street Number
25
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���n�i��,��Lic�,�rio�v <br /> �171LDIN �i�CHANICAL / PL.l1M�lYVG / SIGi� . 'RINQ�C��R/ DEMOLIT'IOY� <br /> CITY OF EVERETT PERMIT SERVIL�� <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> (�lue oe �lack Ink Only Piease) PROJEC'�' SITE IR9FORIVIA'TIOfd <br /> PROJECTSITEADDRESS: Z� �.as��I.a�.-itifc CJ���J �,� • PROPERTYTAX#:L�D�jO OC91C�1 00 <br /> LEGAL for new construction: Short Plat/su6division,Z��/�'A(�a/�$�-$Sf�Lot No.Z A (attach copy of long legal description) ��{,a.ri�t� <br /> COPITAC'1' IPIF09�MA'Y'101l9 <br /> OWNER PIAME: S�a �"� /�s�,�� �t,�,� TENANT NAME(If Commercial):�v� {� �.v ,.�Er R,,,,••• <br /> OWNER MAILING ADDRESS: srHeer ��-, G �j�„�.L ,I''��j <br /> Cf�Y�'/(� �� �TtU STATE�j�J/Q- ZIP ��Z�S <br /> OWNER PHONE: yZ�j � 3�T- 7 33'S OWNER EMAIL: <br /> CONTRACTOR NAME; QG�ti�,L <br /> CONTRACTORADDRESS: sTReeT /�Q ��� /S� <br /> CITY��� �C r /��'0' STATE �✓�' ZIP �� �� 5 <br /> CONTRACTOR PHONE:yzS-jS'S- ^7 33S CONTRACTOR EMAIL: �,// C,� Gc n./57�K�-.,c�/r'�1 ,Gcit, <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> _,_ __.. _._. . —..._ _ _..... __ .._......... _,__. _.. _ __.. _..._. _ ......_._._,_. ,... .__ __:_._. <br /> PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR I�U i HER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: yZc�_ Z�p _ -� �p c�' <br /> � ✓���-�-�" CONTACT EMAIL:G,f��j��.�� fi,aZ,4.w• .w„riyv7Es�ldw.cc�- <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building:Z,.ie✓,�S�,.��.o-� Contract Price of Work:$ ��v S 7 � '7�'. G <br /> Proposed Use of Building: ,�,,�� ,�. � Heat Source: C�Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ��strial <br /> Type of Project: ❑New ❑Addition ❑Remodel [��air ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> ���oia.i.�. �/ ^-�. c�-.n.+-�,n�t � G�'+?GC �c..n. /� <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of Lisf of Fixtures #�f Lisf of Fixtures #�f List of Fixtures #°f List of Fixtures <br /> Fixtures Fixfures Fixfures Fixfures <br /> A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(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 Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(ServicelBar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSIOW SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT.�l have reviewed tliis application and confirm the informatron contained herein is frue and correct. Work done pursuant to fhis permit must comply with <br /> current federal,state,and local law. The granting of a permif only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing fran the <br /> Building Officral before being authorized under any circumstance.I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, <br /> and!comply witl be�Coiitracto,s�.aw 18.27 RCW and 296.200A WAC. <br /> -i j City of Eve�etf Official Use Only <br /> � PERMIT# <br /> — � � � ��' ��% ��(„D'� �L�L� <br /> lfJ <br /> Owner/Au orized Agent Signature / , Date (Revised 5/20/2016) �, ,L <br /> "�.r�-- � h-Q �.v ��_V . ���C� � <br />
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