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PERMIT APPLICATION
<br /> ' BUILDING I MECHANICAL I PLUMBING/SIGN I SPRINKLER I DEMOLITION
<br /> ;, CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET.EVERETT,WA 98201
<br /> 1P 425257,8810 FAX 425-257-8857 I(E)everetteps rzeverettwa goy 1 www.everettwa.gov/perrnits
<br /> Blue or*Nook Ink Ont Please) �..
<br /> PROJECT SITE ADDRESS: 161 \,\ I- 5\n,t cr sz Ig V,C. PROPERTY TAX#:
<br /> LEGAL for new A 3.truction: Short Platisubdivisi t Lot No, Mach y of long legal Oescdatfvp
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<br /> CONTACT INFORMATION
<br /> OWNER NAME: Cratiktn.60Ysk TENANT NAME(if Commercial):
<br /> :OWNER MAILING ADDRESS: STREET I.Cl lIt ir,t.14.4":46 Pki,e.
<br /> stA :,
<br /> OWNS .' ' tC4Cp- 1
<br /> ,, OWNER EMAIL: ,
<br /> C£I "4 ,z,i,,'"'... ,, r NWBATHWORKS,LLC
<br /> ..,1 ')*:.1,::,•,..;.',;<1... 1882 4TH AVE NE
<br /> CITY ARLINGTON STATE WA p 98223
<br /> -7:',t,:;,‘"; 117,:;: ..' ' 425418-9545 'CONTRACTOR EmAIL. NWRATHWORKS@GMAIL.COM
<br /> ,1F �t1b NWBATBL855PA OW OF EVERETT BUSINESS LICENSE REQt,IIRED): 57184
<br /> PRIMARY
<br /> CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: % (0_ ,.ct 4
<br /> Cat4A- „ 4/1 CONTACT EMAIL:
<br /> first Sill ra of ,,) i Contract Price of Work:$ 51100.00
<br /> Proposed Use of Building �-,
<br /> 191111 : , i. ' 4:a
<br /> 7' '',,If yP
<br /> Type of roped ONew (Addition (Remodel ORepair DT I. (Sign {Sprinkler IIDemolition {Change of Use
<br /> DESCRIPTION OF WORK: --
<br /> PVC)tct-'"C_ It:› 5**,.( 0"\C?' 't CAA-Ad-LC— -14-7".14"'t 4A'ilt-4' 1.--- "-vi 7-("FLvk IC-
<br /> ASSOCIATED BUILDING PERMIT# if,i••'
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<br /> Type of Project: New .._._, Aden Alteration Repair `+Isf' ' ,. tfdi , ' 'c ';
<br /> *of
<br /> Fixiur List of Fixtures Fixtures ? List of Fixtures List of Fixtures #of _-
<br /> Fixtures Backflow
<br /> +"A+ t -a =.*.s •: Heat Pure _. Preventer(Inside Bldg)
<br /> Forced Air Systems Unit Heater Bathtub Urinal
<br /> Gas Pit0a1 Boiler Lavatory(Wash Basin) Drinking Fountain
<br /> Yater HØle Refrigeration "Shower Floor Drain
<br /> hen Sink&Disposal Grease
<br /> Geta FirePteca Wood Stove Kitc Trap
<br /> Gas I Ducting Dishwasher Roof Brains
<br /> CSI r'...,..i'.,:' Other, Clothes Washer Medical Gas
<br /> Range Hood Other;
<br /> Exhaust Fan Sink(Service/Bar/Mop/ern.) Other,
<br /> m
<br /> i , R„I"H.,,, , Nt 51ST
<br /> 1stit *:W I No.of Heads
<br /> 13' lY' ... '' A e� v.,fi € s !?7,1,47. ."; ,,,. a n . - f �?:
<br /> W-
<br /> � .w'"` Q:x'°� .xs$' : sem,\ 'a fi 'Wali" : .. .,...a i\ aT' "$' s` :ft?l .�IT made
<br /> - PERMIT 1 _ n "
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