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PERMIT APPLICATIO1s <br /> BUILDING:=CHANICAL/PLUMBING/SIGN f U INKLER/DEMOLITION <br /> 0404//111"---". 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 /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: (PROPERTY TAX#: <br /> 306 SE Ever-:ht-Mall Lt)C 1 41"e2) <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): C Or , <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Beer 513n Sexy tce S <br /> CONTRACTOR ADDRESS: STREET I(Dala, 80-*10\ - '1e(£ F-31 <br /> CITY m1)l Crete STATE STATE I.(>A aP 98042. <br /> CONTRACTOR PHONE: L/25. 0.a'In CONTRACTOR EMAIL: b b"i" $lg n S Q Th S Yl. CO al <br /> CONTRACTOR LICENSE#(REQUIRED): .b 15(5-*Cf PQ CITY OFEVERETT BUSINESS LICENSE#(REQUIRED): 0551011 <br /> PRIMARY CONTACT: ❑OWNER .CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: an*. C�onZ.a\e s CONTACT PHONE: 0Z5. 330. 81(0® <br /> CONTACT EMAIL: bb-i-$(oln Se.,r7)s n. Go <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: C tm nie rc to( Contract Price of Work:$ 1,5 5 0.00 <br /> Proposed Use of Building: NIA Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Commercial ❑lndustria l <br /> Type of Project: ❑New DAddition ❑Remodel CI Repair ❑T.I. ign ❑Sprinkler ❑Demolition ['Change of Use <br /> DESCRIPTION OF WORK: <br /> tn5taUl C') 1lb1 �s <br /> 9. 3 ,pla <br /> J <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL.PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New Addn _Alteration Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <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 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 /> SPRINKLER/SUPPRESSION SYSTEM <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 <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 I am authorized by the owner of this property to perform the work for which application is made, <br /> and f comply with the e Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> � t a PER �� <br /> ACC) <br /> oto <br /> Owner/ thorized gent Sign. Date (Revised 10/12/2015) I. <br />