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1677- BUILDIN ECHANCITYICIALOF I PLUMBINGEVERETTPERMIT/SIGNSERVIm -RINKLER/DEMOLITION <br /> a ;II <br /> 3200 CEDAR STREET,EVERETT,WA I <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@evereftwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 6 o5- A(: E IL f ld- mad v j ei ib`�L\ PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision N_ot No. (attach copy of long legal description) <br /> CONTACT INFORMATION pp--rp� <br /> OWNER NAME: Lid i+ &jCP iv TENANT NAME(If Commercial): L Love K'it t fX)X+n = ertm <br /> OWNER MAILING ADDRESS: STREET 510-'6 F EvfP Mtn tU <br /> crry eats— 11h4-- zip qt�J 8ozo <br /> OWNER PHONE: 402,5_ 5(lb - (q OWNER EMAIL: <br /> p n <br /> CONTRACTOR NAME: �j'A/)Q1�U11 4 pInC 9L �V b I,C1 1 <br /> CONTRACTOR ADDRESS: STREET P{-f 5-5 1 Ss)rd Av,.- '66-:- <br /> CITY P ot,l1 d L STATE U1 ti1A ZIP g goal <br /> CONTRACTOR PHONE: j-i`V — f f.4.,0) — 0,11-1- CONTRACTOR EMAIL: 5p.9J ACb AOI ` COM <br /> CONTRACTOR LICENSE#(REQUIRED): l p e4ll4 co IA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):4-t 7 Abu <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR OTHER(Please Specify) =t slit ' : . *1! <br /> CONTACT NAME: L€ ' CONTACT PHONE: 7h 6LF6g 5C) ,C' <br /> 1011_4yl'IAAAtn I2J CONTACT EMAIL: d iqn, (t�7 gff.cL i • corn <br /> BUILDING`PERMIT APPLICATION) <br /> Existing Use of Building: Contract Price of Work:$ •5_x_a�%' <br /> Proposed Use of Building: Heat Source: ❑Gas Alectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: Commercial ❑Industrial <br /> Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. )(Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: /// jI he— <br /> t <br /> ank ( 1 ) 4d 1 �ann� rs `v Ax154in wale 4fi . <br /> (.,t- Jam, i L1urni np. - o 1 . <br /> ci <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type o roject: _New _,• Addn _Alteration _Repair Type of Project: _New _Addn Alteration _Repair <br /> Fires of <br /> List of Fixtures Fid of <br /> List of Fixtures Fins List of Fixtures Fiu List of Fixtures <br /> A/C •'r Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced •'r Systems Unit Heater Bathtub Urinal <br /> Gas Pipin• Boiler Lavatory(Was' :ask) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Dispo <I 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 (STEM <br /> Chemical or Water I !No. Heads <br /> ACKNOWLEDGEMENT::1 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.I am the owner,or I 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 18.27 RCW and 296.200A WAC. <br /> -/ ( p/ City of Everett Official Use Only <br /> 0 i ft )�/ /I8 PERMIT#�, cc0 <br /> a / a ri?fi,cl 01 ffjnahk9__ �Qf.� ® <br />