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PERMIT APPLICATION <br /> BUILDING I MECHANICAL/PLUMBING/SIGN 1 SPRINKLER/DEMOLITION • <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8857 I(E)everetteps@everettwa.gov I ,www.everettwa.gov/permits • <br /> (Clue'or DIack IAEA On!..e.16 .3) ' .1f9WMO'SIT INFOKfUTAirION • • • • <br /> PROJECT SITE ADDRESS: SI/6 "" / , PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> .CO$TACT.IkilPPO*MiATI®N .- ..• ••. •• . , . • <br /> OWNER NAME: 04 Via ....,�(✓( i/ "I 7 TENANT AME(If Commercial): <br /> OWNER MAILING ADDRESS: sraear 0/b /l/e49 r <br /> CITY ZL7 � STATE ( / ZIP / r5 <br /> OWNER PHONE: 'Z Air -- /b07 OWNER EMAIL: <br /> CONTRACTOR NAME: C 0 aue.GaC' IJ .,,•.51a-T( ..•GJ dc 'pi-t,,.,..._......... .,..�u, .._. ,.. .> ,..,,, , .. <br /> CONTRACTOR ADDRESS: smear '2-1�P2,--0 <br /> o P 1 AU tr <br /> CIVTY 'G 6 STATE (,V A— ZIP 6/C326/ <br /> CONTRACTOR PHONE: 4 25 2.s-2.-''�f!i . CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): E(J U.jS 02.2,0(' +CITY OF EVERETT BUSINESS LiCENSE#(REQUIRED): r,,6-/1,5•5' <br /> PRIMARY CONTACT: ❑OWNER @.CONTRACTOR 0 OTHER(Please Specify) j/ - <br /> CONTACT NAME: CONTACT PHONE: 4 2` -2.5"2.-',/f 7' <br /> LD CONTACT EMAIL: V. ,d 0,. 6-1A ,a,, CI . <br /> . • • • .' • •• BUILDING ekAiVIIT APPLICATI®M • ' . • • •. ' • • , - <br /> Existing Use of Building: i Contract Price of Work:$ 19 -7 30 <br /> Proposed Use o Building: Heat Source: $as I:Electric ❑Other <br /> Building Type: FR-Detached OSFR-Attached ODuplex ❑Multi-Family#of Units: ClCommerclal ❑Industrial <br /> Type of Project: :New IlAdditlon 17Remodei :Nepali' OT.I. ❑Sign ❑Sprinkler DDemolition ❑Change of Use <br /> DESCRIPTION OP WORK: epiiice as F,(2A (-fid ,AT (4.14--- • <br /> ASSOCIATED BUILDING PERMIT#(if aepiicable).; <br /> •ArieCF,1.A,N;1c_.ti,kkiiXr'AL6pudowi®ki . •• •• . PLUMBING 1tie1 tVIT APPLicATION • <br /> Type of Project: _New Addn Aiteration_Repair Type of Project: ` New Adds Alteration Repair <br /> #of List of Fixtures #°f List of Ffxtures #°f List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—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 HeaterRefrigeration 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 /> '•. •: <br />