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p __ <br /> PERRI IT APPLICATION <br /> i BUILDI\IGtMECHANICALfPLUMBI ISIGN ISPRINKLER 1DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4,,, ' 32[10 CEDAR STREET,EVERETT,WA9E201 etr ifs <br /> ` •F ',A. -,T FAX 426.257-88ta7 j(E) evereftWa9o!r__I www.evereftwa,govlp <br /> 88__ej evere_ _ .. <br /> (P}425-2b7 — •� ��� ,,. ��- <br /> #11•QJ#4°t�; t'tk li_ __.'.t-IF©1 k' lr' <br /> pRdJvCT SITE ADDR585: „V I�t•Ho. (attach rapt'along legal description) _ <br /> LEGAL far n construction: Short Plat/subdivision—-------_- r' <br /> ion._ _-- <br /> new can — � =___ -= <br /> ,F. _ 0010 `iii t i — — <br /> _� _• �• ' -'_'=� ' � =a-- TENANT NAME(I.�Commercial):ti 1 <br /> i <br /> OWNER NAME: ��t <br /> OWNER MAILING ADDRESS: miser ® s , .s <br /> flWN1ER'EIUTAIL: <br /> OWNER PHO�ti?: Sc • r ... <br /> rr�te�-__ <br /> CONTRACTOR NAME', l':.t1L.,. I ,— <br /> srtz�ar��r ` LCA' z1P '2 <br /> t A-c<: <br /> C©1 TRAOTflR AL�DRES STA-LE .Los., <br /> crrt '!� V1(d,sGc r `C9.kvS <br /> c�j�j;�cTOR PHabtE: (� "��?� �t <br /> GTOR LICENSE i{FER_UaIRED} ��t2 "" '�" ' Din'OF <br /> EVEREiT'BUSINESS <br /> LICENSE <br /> E. <br /> ARKDIRED <br /> }= O <br /> p/ <br /> GdITFA . � ._ <br /> • <br /> PRIMARY CONTACT!, OWNER `? CONTRACTOR D 0THER(Please Specify) <br /> CONTACT NAM :. CONTACT PHONE: tis' 3 —e27"1= <br /> CONTACT EMAIL: e r 1SY1 + — <br /> - <br /> ;1t3�1iliflS�P RMIT i e ioAil0j't ;..�' . <br /> ;._ ...•. _Prot C infract Price of li krk:$ <br /> i <br /> F.�osting Use of Building: Heat Source; l:_,s' }�Elecfric 1*IOther___._ ___.___ _ <br /> - <br /> Proposed Use of sting <br /> Ildin9: l�Gammerciat Qtndusfrial: <br /> 13,351.7/KL. <br /> ( <br /> Building Type: ',0 SFR <br /> Type of Project: EINeW [Detached SFR Atiached UDU a(ex 0Muif1 Emily-#of Units: <br /> i fAddit on 11:Remodet URepair mi. C{SIgn Sprinkler Qdemoiifiorr Eichange of U 1 <br /> �nk� � pQ��i t 7� <br /> DESCRIPTION Op WORK: ;t4u .. <br /> TJ1t Diad PERMIT---- -- applicable): . <br /> ASSOCIATED B — — ' llki °' �f ; k — ::.._- <br /> ;" I t•• l(• _ li_ - _.'fl'._A�l__l-,flu..L_=`d ---- Addn Alter____ Re;-;- <br /> _ Type of Project _.Peas( _ <br /> Neu Addn Ieraftan FZepatr an- <br /> *oP tLs$aiFi�xfares 1' <br /> fl ofProjecfR !af af List ofFbcfures Fixtures Lisf ofPfxfuras Fixtures <br /> P,ack�oNf Preventer(Inside Bldg) <br /> of List of Handling <br /> Toilet <br /> Fixtures Units Heafil'�?mP Urinal <br /> For Forced Air <br /> r SystemsmgUnit Heater Bathtub f rining Fountain <br /> Gas Plein Laps_Jew( Iash Basin) <br /> , Boiler Shower Floor Drain <br /> Gas Piping Refrigeration Floor g ain <br /> l Wood Stove Kitchen Sink&Disposal Roof Drains <br /> p <br /> Gas Range <br /> Ducting Dishwasher Roof Dr in Gas <br /> Gas Rs D Other: - Clothes Washer Medic <br /> Clothesandryer Hookups Water Healer Other: <br /> Range Hood Sl efB���pf <br /> Fachausf Fan: <br /> —' -=----- `_ umber of Heads ___ _ .-------- <br /> OWLEDGEM- f have reviewed this application end wenn the Intbm?atlort confai ed herein Is true and correof Workdorra pu+ tient to this permit!bust flcatlan is mads <br /> CKN <br /> onagy <br /> the owner;ort w authorizedadbyalae ownerofthispropertyfop must <br /> hi fhbworhon sd app <br /> th <br /> and local The granfing°fa permif any au'J7orizes approved work and no deviations fhetsfraxa�,Deviations zn�lst hist be authonzed in.wrfffng from e <br /> .urrentfederat,state, a�:. :.ante:f.am th <br /> 3uildfng Official before-being authorized under any end 2/DOA WAG <br /> Cit <br /> yo f Brett Cffad Use Only <br /> Ind f compfyrwith the fife oafraafors Law�� ' --—--- <br /> CI <br /> " <br /> °. "- l 8 PERM-1 �" O --- <br /> (Revised 6120/2016) ��.---- <br /> Date <br />