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Link. to ru , <br /> PERMIT APPLICATION <br /> (UILDINfa'CHANICAL / PLUMBING /SIGN —RINKLER/ DEMOLITION <br /> 44.77 <br /> CITY OF EVERETT PERMIT SERVIC= <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (D1 .=.Ut t(Ia1.V_i :I!'` .L O/1. A .PROJECT SITE`INFORMATION <br /> N <br /> PROJECT SITE ADDRESS: 716 U.) irarifi a V�u)Qrive,. PROPERTY TAX#: 21Osjg�c f(o5� � <br /> a=uto. tl-i wti I$ f <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT FORMATION <br /> OWNER NAME: l°dri-islF E.eie TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 121'S Craftsman Way 1 _Suitt_2C0 CITY STATE tat ZIP chO ZO <br /> OWNER PHONE: (#2S-ZS/-3(06€ OWNER EMAIL: <br /> CONTRACTOR NAME flap 0 t c,l/,,( 6655 - `4-t u,su /t e of i l <br /> CONTRACTOR ADDRESS: STREET J <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):0 T rj0.2, <br /> PRIMARY CONTACT: [OWNER 0 CONTRACTOR 0V OTHER(Please Specify) <br /> CONTACT NAME: isnovidort (,JI't.ifittEe=r CONTACT PHONE: et.z.S 388--ocet 3 <br /> CONTACT EMAIL: i iced-epa .ems- earn <br /> :... '. BUiLDING PERMIT APPLICATION ' .: <br /> Existing Use of Building: Cu..rre>eif y va..castt Contract Price of Work: $^-$25,00.0 <br /> Proposed Use of Building:/'flaring cLccb/tot..Ae.i pahl e-VeiLu-a- Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ,(Commercial ❑Industrial <br /> Type of Project: CI New ❑Addition ❑Remodel ❑Repair ❑T.I. OSign ❑Sprinkler ❑Demolition ❑Change of Use kUse XIS1013 Mole- <br /> DESCRIPTION OF WORK: rite_ Peri'-a(Everei 4020 he. inevtnstel{-/844,4crit.€4,1e,ye.rizetatoer&&' ' 1b 1s stew hoot& <br /> Eft & K(CL " RV'k. 71.14 pre,jest io 017=1-de Wt Part s la.ryler t �Frat# FrAce Ceaidra.l ebpyt¢,c#1Jec#, <br /> At its Aged Sete,y+Ee tOeyeditaeu4.er • au cued ew a pub•-is- rLnq anal ere- . ,T,�+oravemaiti►s <br /> *I erect:" dw.t'e.'Mazar e.tae,a will*tee /of4c,e-wtdora future-prefect. Ticea prgied-VxQQ.Spee:,&dat,QQ aicM jjadia.4.3 <br /> ASSOCIATED BUILDING PERMIT#(if applicable):aatd place. it an a Raw`/'°1 ai"n <br /> MECHANICAL PERMIT.APPLICATION. ; PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn Alteration _Repair Type of Project: _New _Addn _Alteration Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC-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(Service/Bar/Mop/etc.) Other: <br /> IT :SPRINKLER/SUPPRESSION SYSTEM ` <br /> (Number 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 being authorized under any circumstance.lam the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 257-.4!-660/7/4 -- Zit/he, [(a° 3-0(a <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) ..,--- <br />