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820 HOYT AVE 2018-07-18
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820 HOYT AVE 2018-07-18
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Last modified
7/18/2018 9:09:41 AM
Creation date
7/18/2018 9:09:41 AM
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Address Document
Street Name
HOYT AVE
Street Number
820
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4677- PERMIT APPLICATION <br /> BUILDING 1 MECHANICAL I PLUMBING/SIGN /SPRINKLER 1 DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) ``:` PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: ]249 VD/{ /Qj q PROPERTY TAX#:OD5 32I row 2..3 tj <br /> LEGAL for new construction: Short Plat/subdivision Lot No. 23 (attach copy of tong legal description) <br /> CONTACT INFORMAON <br /> OWNER NAME:i,,1 Y;1D YioWI t tit TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 16 31561 y Nr 60A s.)- <br /> l errr 'K01440141) STATE 1/1/1+- ZIP ' XO62. <br /> OWNER PHONE: (,112. )7-66-0100 OWNER EMAIL:174(l 90f)f)wk\ 14Av Ud 1. COVA <br /> CONTRACTOR NAME: K 14 •I,li� <br /> l"1 )A&!{C fx\ <br /> CONTRACTOR ADDRESS: STREET' ..D/L, 14 I41c1N S- <br /> l CRYI <br /> %D/U,1,1'a STATE(1 2)0l)i) 676:VVIAPHONE: (2019+2,b -2,',24.,-g CONTRACTOR EMAILtA a)y)),.)Wi gp,h a 0 I`egI, <br /> CONTRACTOR LiCENSE#(REQUIRED): Opig-l}ndi L I S I) 1 CITY OF EVERETT USINESS LICENSE#(REQUIREDI:VI 2114.5 <br /> PRIMARY CONTACT: ❑OWNER RICONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: , CONTACT PHONE: �l .,ii g m t45}.\ o►1l 0151,1 CONTACT EMAIL: gspA,t,J r 14{,3V'{�L'(ii�i.Vt.l ft! .(.dwi <br /> .BUILEIING.PERMIT APPLICATIO <br /> Existing Use of Building: IA i f}1144 t-j., Contract Price of W, 6O , II . eer <br /> Proposed Use of Building: 0" e. q rl�j(� Heat Source: Gas ❑Electric 0 r.ther <br /> Building Type: t6FR-Detached ❑SFI�klttached El Duplex ❑Multi-Family-#of Units: ❑C. mercial ❑industrial <br /> Type of Project: ❑New ❑Addition %Remodel 0 Repair ❑T.I. ❑Sign ❑Sprinkler OD= • on ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> 110.02 10Ilt(~ alit) Wir.ii 10AGk-110,,1 rt'ev'e,yyter <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 Ad Alteration _Repair <br /> °f List of Fixtures °f List of Fixtures #°f List of Fixtures of List of Fixtures <br /> Fixtures F' ure Fixtures Fixtures <br /> NC—Air Handling Units eat Pump Toilet Y 1 ackflow Preventer(Inside Bldg) <br /> Forced Air Systems C/ nit Heater Bathtub rinal <br /> Gas Piping 1 iler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater efrigeration 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(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER'I SUPPRESSION SYSTEM:::. ::,':!: <br /> Chemical or Water I INo.of Heads <br /> ACKNOWLEDGEMENT:i have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> current federal,state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before bel •authorized under any circumstance.I am the owner,or!am authorized by the owner of this property to perform the work for which application Is made, <br /> and I comply with the Ste= • •ntractors Law 18.27 RCW and 296.200A WAC. <br /> City ofofEverett Official Use Only <br /> PERM l v cl ` 001_4 <br /> Own 77. •died Agent Sign: • - 'ate (Revised 9/23/2016) <br />
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