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PERMIT APPLICATION <br /> BUILDING 1 MECHANICAL/PLUMBING 1 SIGN/SPRINKLER/DEMOLITION <br /> `' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 ((E)everetteps@everettwa gov.I www.everettwa,govipermits <br /> (Ht1Gt iaelA aek,4tikOntr`Pteats <br /> PROJECT SITE ADDRESS: te' A . <br /> N PROPERTY TAX ft: <br /> LEGAL fornew construction: Short dlattst.b 7.+'tafo3ll <br /> s a (attach copy of long legal description) <br /> 'di✓NTAtt€' 0•kMAYlD M '1?i* x„x-E':1'a <br /> OWNER NAME. A :elk ,, ,a°`'.' � TENANT NAME((f Commercial): <br /> OWNER MAILING ADDRESS; SIRE=r" , <br /> CITY i <br /> < ffi '' ..n..a STATE ZIP 4° Ir\ <br /> ilk <br /> OWNER PHONE. , •:; r� <br /> iA • OWNER EMAIL: <br /> CONTRACTOR NAME: <br /> C <br /> CONTRACTOR ADDRESS: sraEET 114 <br /> a". „ <br /> _. CITY *"� STATE _46.' � ZIP a. .• I <br /> CONTRACTOR PHONE a <br /> CONTRACTOR EMAIL, d e '2' u .,coC) <br /> . a <SPAT. <br /> i a ,.. tie 4 <br /> PRIMARY CONTACT: <br /> ❑OWNER "CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME;. <br /> CIL CONTACT PHONE: 2r"�- <br /> CONTACT EMAIL <br /> ,. °""i ,-,t':,vv.,rz".1.4",,f-ittUticrtit _T <br /> ., ((ggam�47 <br /> `a <br /> Existirt Use of Built:fn...: Contract Price of :•. <br /> Pfc.ose,1 Use ofEuitd"tna:" <br /> Pleat Source: :t.s Uclectric DOther <br /> ©auildzng Type: ' -Dateche tDSFR-Attached ] pfex (Fa ) f <br /> DGommercfat ElindustrialI et of Pro apt: 0 New 0Remodel ORair ©T.I, ❑g e€ Iaf ©D molitin Chen.: of Use <br /> DESGRtI"11014 OF WORK: <br /> .1 tl�i & �A� \O��r�/ <br /> 43$901ii,17ED BUILDING Petitridtfr#jtt" pplit abh9: <br /> r ECHANi Ci.> i rr' rt.rc i <br /> TYAd of Project _New ( r 'tog�' ,:e <br /> Addn Repair_Alteration Type of Project New <br /> hof1 _Addn _Alteration Repair • <br /> #ptx < <br /> fl. " .' w.- Hee xt <br /> #of <br /> -- it of <br /> NC—Air t-tar #ing Unita ��ft.rr�s' Fixtures; '� <br /> t�,Ilt" _$ <br /> Forced—Air S terns Puij ,To(Eel <br /> Unit:Et,itar ' dub * �- UrinalEkrokilrj 'reuses i t <br /> l�iptr�4 °� Unna[ <br /> eiIer 'Lavatory(Wash, rl <br /> MEI <br /> Fountain eater Rtat oration ate <br /> Drain . <br /> Ga <br /> NNW <br /> Floor_S Ft a & Wood stove 10tci &Disposal Or se Trap <br /> Other: so iaratns <br /> s Ra >� Hood .r. �k3ttzes:' er ,� <br /> tedit Gas <br /> Ode <br /> r p� tnkSerytcel8atii4ttapletc <br /> f: .; PR.1Nl' Rtf,'st,ii)P asSt1 :yr-. I <br /> Chemical or Water <br /> No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the Informeftcn contained herein is true and correct.Work done pursuant to this permit must comply <br /> current federal,state,and local law.The granting of a permit only authorizes a <br /> ppwork and no deviations threfrom. <br /> Building Official before being authorized under any circumstance,I am the ownerr Cr?ad m authorized y the owner of this p property to perform the work foreviations must Drat be authttioIn n application from ihe <br /> made, <br /> and I comply with the State Contractors Law 18,27 RCW and 296.200.4 WA C. <br /> ( City of Everett Official Use Only <br /> a" } .2 Co ' l� PER /t <br /> rkAurtltacfzsd a :Srture ��� j Q <br /> Date <br /> (Revised 016): <br />