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PERMIT APPLICATION <br /> BUILDING/MECHANICAL I PLUMBING I SIGN/SPRINKLER I DEMOLITION <br /> ter! 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 1 www.everettwa.gov/permits <br /> SatiatakdatagiggargAMegilgaggWiti00141-tejfiloiticiatifika*IgaikhatitaniatigagtanagagRa <br /> P i 1"SS 2 `IDyREa: t EVt.Xt�t- '�'-. -• "'.1 • , #: 0 <br /> o5 2112 U too 200 <br /> LEGAL for new construction: Short Plat/subdivision k.s l,p 0 Lot No (attach copy of long legal description) <br /> ,fi a,l: t `"ga CONTACT:INF MATION......... 4,,::..... `k ry <br /> ent <br /> OWNER NAME: m',G - \ 0. \ TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1 1 og 3 Si- S 43 <br /> are L y r cd STATE W pr ZIP 615)08-7 <br /> OWNER PHONE: (42_5N)2.1-14 4:191 OWNER EMAIL: YI ava.e l c\cthl r YYIgMY1a1 1 . Cori% <br /> CONTRACTOR NAME: cortes- <br /> CONTRACTORADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LiCENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR C .OTHER(Please Specify) -{rp,ec 4 fr v o.,G Q.' <br /> CONTACT NAME: CONTACT PHONE: (42.s Mg L)210 _1433 <br /> onr, ►hG `MC-6— CONTACT EMAIL: cMnS 4 n <br /> - 411.44,36604,...C.0 <br /> ;Gari ori•t. <br /> o a ;B UILDING,PERMITIAPPLICATION xi, x.._ <br /> Existing Use of Building: G.tifNe e., �a'ir \Ni Contract Price of Wor $ ill A <br /> Proposed Use of Building: Heat Source: ❑GasElectric ❑Other <br /> Building Type: , SFR-Detached DSFR-Attached ❑Duplex EiMulti-Family-#of Units: = ommercial ❑Industrial <br /> Type of Project ONew DAddition DRemodel Repair DT.I. ❑Sign ❑Sprinkler DDemolition ❑Change of Us s <br /> DESCRIPTION OF WORK: <br /> Repcdwr ok Shee4r r��u"c�ir 2,000 s`1c}l recpvnoOS <br /> eT-Lvi-re and O <br /> R - _ •. . Na re-tri-h-Nu--.6" k• <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> NMIZMIOGIIXNIOAIEPOIOTVKIWCIWATLIONIMRE . PLt BINE_.PERMIT APPL E,tilkietlinalta <br /> Type of Project: New_ Addn Alteration Repair Type of Project: New Addn Alte ation _Repair <br /> *of List of Fixtures #°f List of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures 4 <br /> A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler s 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 /> 1 <br /> INSIOIOINTitiltit/SUPPRESSIiON: YSTEM;; ,,. <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 i <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!comply with the State Contractors Law 1827 RCWand 296.200A WAC. <br /> CityofEverett Official Use Only <br /> tZjZ�i-]`I� PERM `��2 _o-1 0 <br /> caner/Authorized AgAMIQ'61 <br /> rDate (Revised 90/92/2095) <br /> 1 <br />