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03/19/2018 MON 10: 35 FAX 425 415 6867 Fast water Heater 1002/002 <br /> gr?-3 03 <br /> PERMIT APPLICATION <br /> � BUILDING I MECHANICAL/PLUMBING/SIGN/SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 88201 <br /> (P)426-2678810 I FAX 426267-0857 I(E)evetattaps®everettwa_gov I www.evereftwe.gov/permfta • <br /> Woe or Flack Ink Maly Please) - PROJECT WM INPORMUMATIOP4 r- <br /> PROJECT$ITE ADDRESS: ID SG- EV cIrea1- Y► ►a,t I Li m PROPERTY TAX#: Q 16�id5-- " <br /> LEGAL for new construotlon: short Platisubdfvialon r Lot No, (attach copy of long legal description) <br /> -,-.. <br /> CONTACT 1NIFfRMATION _ <br /> OWNER NAME: S pc�1jQ LLC._, 'krvx..N NAME(If Commercisi); 7M(J o C/4-it'J SF p ST <br /> OWNER MAILING ADDRESS: smear I 0 S VP,44Q/H--IM A Il WM 44-D <br /> CnY STAT5 /I�� 21P V' 29 <br /> OWNER PHONE: Lig-- 1 ( 2)-9.... OWNER EMAIL: ---- <br /> CONTRACTOR NAME: fA ST kid Al e, -kS-AT ie._ <br /> CONTRACTOR ADDRESS; 5TrneET '115 IYELLUj S 4 C 1 D(o �//�� <br /> CRYyTI -L� OTAT6 WA. VP 1 gQ" <br /> CONTRACTOR PHOL125 ��� <br /> NE: p CONTRACTOR EMAIL: e U}'1 1T S p-�1-WQr1PX -ei}-, fpyVi <br /> CONTRACTOR LICENSE#(REQUIRED):f S"f`wvo viol ol LI g BC CITY OF EVERETT 6USINESS LICENSE#(REQUIRED)(f 5 <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: �/ L CONTACT PHONE: L{a • i , IP <br /> l(r/�"' `` (7 L,L CONTACT EMAIL: P 0 ,I' ' iii....444/ ' i 1.0 4C4'. GOi] <br /> OI7ILOIIlIO FERNIUT APPLICATION <br /> ` Existing Use of Building_ _Cj ►'m ." _ Contract Price of Work:$ ,2%�Ilr " <br /> I Pro•used Use ofSuildin,: a)44 14 . Heat Source: teas DElectric DOther <br /> Building Type: DSFR-Detached OSFRAttached ❑Duplex LOMult1-Family-#of UnIts: -_Xcarnmercial ©Industrial <br /> Type of Project; CINew CIAdd{tion C(Remodel OgfRepalr CJT.I. I (Sign d jrinklor ClDemolition DChange of Use <br /> DESCRIPTION OF WORK: <br /> °Vin Dv, , / 're\p\A.C,8 ell (A)OcA-e4r \A C a,-t <br /> ASSOCIATED BUILDING PERMIT# If a••licable: w'v ' `� C (� <br /> MECHANICAL PERMIT APPLICATION -� FLUIIIIBINO PERMIT APPLICATION _ <br /> Type of Projects _New Addn __Alteration _Repair Type of Project: flew__New <br /> __Addn _Alteration __Repair <br /> Fixtures of Fixtures �httur as Wet of Fixtures F(x u List of FIxtu :_ List of Fixtures <br /> es <br /> A/C—Air Handling Units • Heat Pump Toilet Backfio -reventer_(Inside Bldg) <br /> Forced Alr S -terns Unit Heater Rath ti Urine)_ <br /> Gas Piping Boiler 'La :tory(Wash Basin)_ — Drinkine ountaln <br /> 1100 Water Heater Refrigeration Sh• et Floor k rain <br /> Gas Fireplace Wood Stove KItch=•Sink&Disposal Q =ase Trap <br /> Gee Range Ducting Diehwae'= Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Weehe Medical Gas <br /> Ran Hood Water Heater • Other. <br /> Exhaust Fen -- - <br /> t3in[c(S®rvir�B: Mop/etc.) Other: <br /> SPkUN. - . - - - 'ESS10 -YST15M • <br /> e clinical or!Nyeteo---1_• ' ..of Needs - ' <br /> ACKNOWLEPGEME/17 1 have reviewed(his application and confirm the Infonnallon contained henaln/s true andGOmact.Work done pursuant to1sHf permit oust comply with <br /> current federal,slate`end local law.The granting of a permit only authorizes approved work and no deviations therefrom.Povtations must urs(be authorized/n writing from the <br /> Building Official befo?e being authorized under any clrcumstenca tem the owner;or I am authorized by the owner of this property to perform the work forwhlch application is made, <br /> and l comply with the State Contractors Lew 15.27 RC W and 2aa200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT* <br /> At <br /> 3 ( • / I ' t g0 3-®3Own uthorzeSignature Data (Revised 9/23/2098 <br />