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02/27/2018 TUE 11: 31 FAX Fast water Heater IJ003/003 <br /> V b 0(1(a <br /> PERMIT APPLICATION <br /> 111j---A <br /> � BUILDING/MECHANICAL/PLUMBING/ SIGN/SPRINKLER/ DEMOLITION <br /> �. CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-S810 I FAX 425-287.8851 I(E)everettepsaeverettwa.gov I www.everettwra.gov/parmlts • <br /> (Blue or Clack Ink Only Please) c �+PROJECT/ I SITE INFORMATION <br /> c! <br /> PROJECT SITE ADDRESS; _ / • j k. / 0/ (/ PROPERTY TAX f1: or 51($ .34 3 "0 4 <br /> LEGAL for new construction: Short PlaVaubdlvlslon Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> _OWNER NAME: ST Eve. LE`I P1)U IQ31 3 a' -.. NAME()f Commerclal�: <br /> OWNER MAILING ADDRESS: sTAim H`t N la NI Ali q qr2O1I <br /> crtY .ki(/1 e,4- STATE tjfpi— No - 1D -- <br /> OWNER PHONE: OWNER E1VMAlL: <br /> CONTRACTOR NAME.; pi ST vi A'1-e VASAT if. I <br /> CONTRACTOR ADDRESS: sTRear l W 15j N . i) JAM S 0 i <br /> Cm' ��jV L.II C/�, � %.. <br /> V . CRAW U ija ZIP r• ' <br /> ('-'0CONTRACTOR PHONE: � i , 0 . CONTRACTOR EMAIL: i Z.VPI 1 T S f l i-IA)/11;,,' VI er.,, . AlliAll <br /> CONTRACTOR LICENSE#(REQUIRED):f \j \ Gj ZC,, CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)5 L153 <br /> PRIMARY CONTACT: CI OWNER KCONTRACTOR D OTHER(Please Specify) <br /> CONTACT NAMLIE: /� CONTACT PHONE: 1/ ; go,g`f,,/ <br /> V <br /> 6i L- 1 jY IMCONTACT EMAIL: ,I �, <br /> ' . t/1 . WO <br /> BUILDING PERMIT APPLICATION <br /> __ . _ _._ <br /> 14. Existing Use of Building: Contract Price of Work: b* - _ <br /> Proposed Use of Buildin4 1 , Heat Source. 09ss ©Electric DOther,. <br /> Building Type: afFR-Detached DSFR-Attached CiDuplaX DMult1-Famliy4 of Units: OCommerclal Cllnduatrial <br /> Type of Project: UNew ©Addition DRemodel agiR2palr ❑71, DSIgn CiSprinkler DDemolttion ©Change of Use <br /> DESCRIPTION OP WORK: <br /> F inn D\IC, / r2,p\A.Ct° aft_s w 0\-.--- r V1 c a,-.1 er <br /> A.SSOCIA'D BUILDING PERMIT#(if ap_plic_); <br /> MECHANICAL PERMIT APPLICATION PLUMBING PLaRMiT APPLICATION <br /> Type of Project; _New _ Addn �Atteratlon _Repair Type of Project: New . tddn _.Alteration Repair <br /> ! <br /> rF/xtut+as Lief of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures --- List of Flxt as <br /> AIC-Air HandlingUnits Heat Pump - To 181' �Backfiow Prsven = Inside Bid! <br /> Forced Air Systems Unit Heater =•-thtub Urinal <br /> ` Gas Piping Boller - avatory(Wash Basin) Drinking P.. tain <br /> 1 I ) Water Heater Refrl Bratton hower Floor A - -- <br /> Gas Fireplace Wood Stove Itchen Sink&Dtiposal Ore=:=Trap _ <br /> t Gee Rance - Ducting 0lei-masher ": <br />