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PERMIT APPLICATION <br /> BUILDINMIECHANICAL/ PLUMBING /SIGN / =INKLER/ 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 /> PROJECT SITE` NFORMATI : . <br /> PROJECT SIT_E��+,DDRESS: -•`� 'PROPERTY TAX#: 0O2 00000 12_0065bo FVC���E tai WWI SUkt- -S S-161 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) A\ll <br /> .GONTAt2T INFORMATION <br /> OWNER NAME: /\G'E:- VESTN\Et\II-S I 1 TENANT NAME(If Commercial): £ e(.-V L til t <br /> )fiftgMAILING ADDRESS: STREET 10 r Ay AJTO r?ODy <br /> 1 t&N,\K 4INSTATEINLAK LOG <br /> OWNER PHONE: 4'25- <br /> OWNER EMAIL: Shed.Qh.il, ^CR e�v - _ <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: 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 tkOTHER(Please Specify) fCkT <br /> CONTACT NAME: sAtkAE, H\)LL� CONTACT PHONE: 20E - 7 ) - aSt it <br /> ,$ubUz— 0 AcV-C1 it1 WC S CONTACT EMAIL: , ck.k)L ,d0OI,--- QrGtri.COW <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: RE-TAIL- • Contract Price of Work:$ a 101000 <br /> Proposed Use of Building: }1/413tO60O°B SHOP Heat Source: ZGas DElectric DOther <br /> Building Type: DSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Commercial ❑Industrial <br /> Type of Project: ONew ❑Addition ❑Remodel DRepair I T.I. ❑Sign ❑Sprinkler ❑Demolition .Change of Use <br /> DESCRIPTION OF WORK: _ _ 0 • - 7 . - t - _t <br /> �+ '� ► . <br /> $O11-E .6-101 : 1 FOS M3TO 6®3`3 R'e Pict t~ P,t iol -SiAO P. POW- Iii 1011_ <br /> 4•DA�t L t Ft PE NNW H1bJOR- ekTelz_t01' MObtv-tCST\O1JS I l`., 6• c-itlAW6E <br /> ASSOCIATED BUILDING PERMIT#(if applicable): VS r0 Ac IJOvJ — (t -J OPmt1IJ6 OSE <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION-,_. <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn XAlteration _Repair <br /> #ofList of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Z Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler ' Lavatory(Wash Basin) 2, 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 /> NA- 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,st-te,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 Offic' I,efo; 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 I comp,- th ti State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only' <br /> 2/3/16PERMIT# <br /> I <br /> • ner/A 'h•flied Agent Signature Date (Revised 10/12/2015) <br /> �J� <br />