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03/24/2017 10:36AM FAX 4258671555 ALLCLIMATEHEATING0001/0001
<br /> PERMIT APPLICATION
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<br /> BUJLD1P--MECHMNICAL/PLUMBING I S1ON,i IrR1NKL.IER I DEMOLITION
<br /> CITY OF i;VERE7 T PERMIT SERV{
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<br /> 3200 CEDAR STREET,EVERETT,WA 98291
<br /> (F)425-257-8819 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www-everettwa.gov/permits
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<br /> FR. �'_ ADD e el
<br /> A• * 3 • PROPERTY TAX#: ' (J• - / I o-e" .$41
<br /> LEGAL for new construction: Short Plet/subdivlslort••-, _ Lot No. (attach copy of long legal description)
<br /> - r'_ 7.�i._.; „"rn' '3,,'� JvA.PTWFi•.g.:i) ..'- 1,'!''d" ,67,••1',04 Fit' 7''k1.010- .Ktt: 17 -,:;9: l•z,':::ai,:-.4'",;:.-',C17: ,.•.'-.,_ • • '
<br /> OWNER NAME: r 0 _ rlrcU_ ,j/ ,OY FENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: sTRa ' tV.t 4 41k .r#' S ��
<br /> case . C ,�4//r nn STATE J / ZIP„____, PHOWONE: .— (n,
<br /> OWNER• EMAIL: /y
<br /> CONTRACTOR NAME: ' - ru `:. _IIV __.
<br /> CONTRACTOR ADDRESS: STREET ha. 1L{ . / - 1 - r
<br /> dScur' _` STATE V v ZIP ,Li+. -
<br /> CONTRACTOR PHONEf - — — f 7 CONTRACTOR EMAIL: ' .4 -_ IAC^ ((Cllr C • M
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<br /> A I CITY OF EVERETT BUSINESS LICENSE (RECU1RED _
<br /> CONTRACTOR LICENSE#(RFSlUIRED): _ / av,,,o®
<br /> PRIM R ONTACT• 0 OWNER fa! CONTRACTOR ❑OTHER(Please Specify) _._.
<br /> CONTACT NAME: . CONTACT PHONE: '1 .G---7-46- 50/7-
<br /> S ti,5 con a-t h.e.W S CONTACT EMAIL: __ Wt4+,
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<br /> Exisfng Use of Building: / tom( Contract Price of Work:$ '__c DU _
<br /> Proposed Use of Building: Heat Source: Gas i]Electric 170ther
<br /> Building Type: CISFR-Dretao ed v SFR-Attached 0Dupiex ❑Multi-Pari 4 of Units: Eiebrnmercial UIndustrial
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<br /> Type of Project: rINew el Addition CORemodel 1:1Repair OT.I. rJSign ©Sprinkler CODemoliiion ElCheni a of Use
<br /> DESCRIPTION OF WORK: //ma��yy �(�—
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<br /> ASSOCIATED BUILDING PERMIT#(if ap.licable:
<br /> 1't' s':117"--W. � +1 1P L ..:•' •' il: ' ..G.P, '•MWAPPL1CATON. '-
<br /> Type of Project: _New , Addn _Alteration __Repair _ Type of Project: ^New Addn „Alteration Repair
<br /> #of It of
<br /> List of Fixtures List of Fixtures of List of Fixtures - List of Fixtures
<br /> Fixtures Fixtures Fixtures
<br /> Fixtures
<br /> A/C—Air Handiing Units Heat Pump _ Toilet Backflow Preventer inside Bldg)
<br /> )Forced Air Systems Unit Heater Bathtub —' Urine
<br /> Gas Pipfnq Boiler Lavatory(Wash Basin) Drinking Fountain
<br /> Water Heater _ Refrigeration Shower Floor Drain.
<br /> r------Gas Fireplace _Wood Stove Kitchen Sink&Disposal Grease Trap -
<br /> Gas Range Ducting Dishwasher Roof Drains _ ,
<br /> CIothes Dryer Hookups Other. Clothes Washer Medical Gas
<br /> Range Hood _ ----Water Heater ---__. , -, Other. -
<br /> Exhaust an Sin iSemvice/13ar1Mop/etc_) Other.
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<br /> :;74-
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<br /> „ .•j. INumber of Heads - ”
<br /> AC)NOl E WENT: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 slate,a'd local taw.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the
<br /> Buliding•Orflci before being authorized under any 01rcumstance.I am the owner,ort am authorized by the owner of this property to perform the work for which application Is made,
<br /> and I comply' r ate Contractors Law 18.27 RCW and 296.200A WAC. CZ,of Everett oitlola!Use Only
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<br /> Owner/Au •rized Agent -en t re Date (Revised 10/12/2(15)
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