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7515 CASCADE DR 2019-01-24
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7515 CASCADE DR 2019-01-24
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Last modified
1/24/2019 3:39:24 PM
Creation date
1/24/2019 3:39:20 PM
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Address Document
Street Name
CASCADE DR
Street Number
7515
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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue O-f410 ck Mk DfI Please) " PROJEOT SITE INFORM}, ,I©.I . .,F, .. , ". <br /> PROJECT SITE ADDRESS: 7 515- Gq S LCA b r -' i ek PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> .`. GOtITACT#111fiORM/1,'�'#Olrl, • °: <br /> OWNER NAME: U 0.21aTENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: � � OWNER EMAIL: <br /> CONTRACTOR NAME: I"/ Q'1'��–\ VAI S c( 1(,°I v"N <br /> CONTRACTOR ADDRESS: STREET k 3 I 0 ,r)/" \ � <br /> -t– <br /> aw <br /> r <br /> CITY J ' STATE 7 ZIP ____ <br /> .../ <br /> CONTRACTOR PHONE: 42,_s-__75"6 • 7�S CONTRACTOR EMAIL: •i'' �(A ' I/ <br /> CONTRACTOR LICENSE#(REQUIRED): 54 ___f AIMS 353 J CITY OF EVERETT BUSINESS LICENSE#(REQU 0): 611141 )Q i <br /> PRIMARY CONTACT: 0 OWNER ,D CONTRACTOR 0 OTHER(Please Specify) I (Q 61 O 2-0Li <br /> CONTACT NAME: M pfi_ 1 _ CONTACT PHONE: t( '' 75,o Lf ) ‘i...S— <br /> CONTACT <br /> 1�✓� CONTACT EMAIL: 5c( t,a.1 e.-- £tn1 cci s--1• - i--- <br /> BUILDING PERMIT APPLICAT ON.",_ ' <br /> Existing Use of Building: k'(..¶)� I j Contract Price of Work:$ nog .i <br /> Proposed Use of Building: ( &S Iw 1 " , t ts.r-ire Heat Source: ®Gas ❑Electric ❑Other <br /> Building Type: E1SFR-Detached ❑SFR Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ['Industrial <br /> Type of Project: ❑New ❑Addition e<model ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Chan Use <br /> DESCRIPTION OF WORK: 5 41 <br /> Y 8 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT.A!PLICATIOR, , .,. PLU MING PERMIcAPPLI CATION. <br /> Type of Project: _New T Addni„_/Alteration _Repair Type of Project: _New Addneration Re <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of Li Fixtures <br /> Fixtures Fixtures Fixtures F' es <br /> NC–Air Handling Units Heat Pu I Toilet Bac i.c Preventer(Inside Bldg) <br /> Forced Air Systems ' eater I Bathtub �..� b al <br /> I Gas Piping Boiler 1 Lavatory(Wash.B sin) ,- Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas FireplWood Stove 1 Kitchen Sink&Dispos.= Grease Trap <br /> .• Gas Rangucti I Dishwasher Roof Drains <br /> I Cloth-- fir'Ot Clothes Was Medical Gas1 - <br /> milli <br /> I Water He- -r P, ) Other: <br /> Axhaust Fan Sink .!-rvice/Bar/Mo /etc. Other: <br /> ,SPRINT LEk SUPPRESSION SYSTEM. <br /> Chemical or Water ' No.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 dm,' ance.I am the owner,or I a authorized by the owner of this property to perform the work for which application is made, <br /> and/comply with the State Contractors Law 1i27 R• - d 296.200A WAC. <br /> ® I b 1 I ) y� City of Everett Official Use Only <br /> II 01-tWtiri 11), .zingp# <br /> Owner/Aut orized Agent Signature ' w crate 7 (Revised 9/23/2016) <br /> E <br />
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