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PERMIT APPLICATION <br /> BUILDING /MECHANICAL/ PLUMBING (SIGN (SPRINKLER I DEMOLITION <br /> #.11PAA <br /> 41111a1 CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everettepsQeverethwavov I www.everettwa,govioermits <br /> (Blue or Black Ink Only Please) - 'PROJEOTTrtiTEINFORMATIONnt-7*s'll'fW."'-',.! ,' <br /> PROJECT SITE ADDRESS: V7 - .41 4 • IP " . PROPERTY TAX#: <br /> LEGAL for new i.;onstruction. Shc>rt Pia,s+ihth,ii.3.a.1 <br /> Ot N3 * (attach 7.opy of tong legal description) <br /> , . <br /> CONTACT INFORMAtiON <br /> OWNER NAME: i I ik,-,4; to attic' TENANT NAME(If Commercial). <br /> OWNER MAILING ADDRESS; 1TRET to • . I <br /> A <br /> . PNtIta.....P <br /> C I TY 4.4. At',...s. ..... STATE. <br /> ,P <br /> OWNER PFIONE: ... • 0 , <0 „, OWNER EMAIL: <br /> CONTRACTOR NAME: -s , ' in Inc• <br /> CONTRACTOR ADDRESS: STREET 14 oaciu)• <br /> CtiY gip • ' 1r <br /> STATE A 1"41- zip <br /> CONTRACTOR PHONE: c/. 0 5c CONTRACTOR EMAIL-4,1 J. 4 '', . -IA ..t 4 $ rim .CD <br /> coN-TRAc-ToR-4.4cals€40,,REeufRE-91.1 --- -0."R etTy-of-ettrtrrratISINES5 LICENSE tftRECYtttRED. ofoci g <br /> PRIMARY CONTACT: 0 OWNER kfOONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: <br /> CONTACT PHONE: 4.z5 2,55 050 <br /> t <br /> -1)ettio ui- <br /> CONTACT EMAIL: , . kecia 0 .co <br /> lilIWIL131140fPERMITIAPPX164TION71Z,,rt-:;' <br /> Existio. Use of Buiidin, <br /> Contract Price of Work:$ <br /> Droposed Use of Buildin~' <br /> Heat Source: 1,614. ElElectric 00ther <br /> 3uildin4 Type: 'We FR-Detached OBER-Attached ODuolex CiMultl-Farnil 4 or nib; OCornmercial DindusIriel <br /> Type of Projaztt: ONew OAddition ORernociel ORaoair OT.1 Dsion Morinkler DDernolifion OChang3 of Use <br /> DESCRIPTION OF FtK: <br /> p (.---A et &As ‘dts-vkao-fz--- <br /> ASSOCIATED BUILDING PERMIT#of applicable): <br /> MECHANIdAL:PERMIT APPLICATION . r ' : '- •,PLUMBINol2ERMITAAORLICATION <br /> Type of Project: New Addn Alteration Repair Type of Project: New Addn Alteration Repair <br /> #o f <br /> IlErfil <br /> alsifilixturos pimes Lict Of7x2 .#of 5t-of Fixturer---- f-oftures-- - -,- <br /> i tit as <br /> MM.NC-Air Handling Units 111111..=Ellial 11111111Toilet Backflow Preventer InSide Bldg) <br /> MN Forced Air Systems 1111111111init IIIIEMMIN 111111Bathtub <br /> Urinal <br /> MN Gas Plping <br /> MR Boiler 111111111Lavalory(Wash Basin) allill prinkinf Fottntain <br /> 11111.11........,_____IMMUMMImallial Refrl,eration MIMI Shower <br /> Mill Floor Dram <br /> Mil as ireole. MIN Wood Stove 11.1.1 Kitchen Sink&Disposal MN Grease Ira. <br /> IIINNEECESPI:111111.00.......1111.11111111 Ducar,. am Dishwasher Mil Roof Drains <br /> Clothes D er HookUps mem Other: <br /> = <br /> Ran.e Hood <br /> •.imi.i ml I II III I I I IL im on•ii.i......_II MI 111 I II IIII Ill a I II i i on.i.....111111111111 <br /> MOM Clothes Washer 1Medical Gas <br /> UM Other: <br /> ianllIlnmwmim......._.__EZMMMIIIMIMINmemmmmm....m gums Sink Servicico e/ Ie.)...Other. <br /> NMMIIIIIMIIMIMMMIIIIMIIIIII, 11111111111.11111.101 <br /> SPRIimmummillillinummmummmillaill.MIMMINammimill.M. 1111.1011. .11.1111.1 <br /> NKLER*/SUPPRESSSYSTEM u <br /> ION . : nitimilmommennimmillillillinili. <br /> 11111111111111 No, of Heads IIIIIUIMIMIIIIIIIMIIIIRIIIINIIIIIIIIIIINIMIIIIIM <br /> ACMCWLEDGEMENT:I have reviewed this application end confirm the intannalicn contained herein is truo and Correa.Work done pursuant to this parintt Must comply w1117 <br /> current feoteral,slate,and local law The granting of a perriut only authorizes approved work and no deviations therefrom Ortufalicns must first be authortzed in writing froth ME <br /> tillng Official before being authorized under arty circumstance.I em the owner Cr I anauthorized by the ewer et this property to perform the work fist,which sphitheited is merre <br /> end I oomph,with the Stele Corthecicrs Law 18.27 ROW and 296.20('A WAC <br /> City of Everett Official Use Oily <br /> 4,.. .. .... ............, <br /> ....mi <br /> P EON( 09 ....... t <br /> .4•44$V1 U 4"4....A - q . 1 . 1% <br /> Ow,Qr./Authorized Age Signature ,.„..., <br /> Cale <br /> (Revisd W2.3,2076) <br />