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Oct. 30. 2017 8: 53AM EV II1EEN STATE HEAT & AC No. 0599 P. 1 <br /> :`, EUILDI O/MECHANICAL/PLUMBING I SIGN I SPRINKLER/DEitu1OLITIOI <br /> 'J CITY OF EVERETf PERMIT SERVICES <br /> 3200 CEDAR STREET EVE E R Tr,WA 98201 <br /> (P)425-257-8810 f FAX425-257 8657 J(E)everet(eps@euere(fwa.gov wwv everettwa,govlpermits <br /> (Ort`' A!.7. 41 degg ilrIIAqb) . ••;. _ ;' �v T_i�Ai> Bigg mut_'�g ... - : - . - <br /> PROJECT SITE AD)DRSS: /9/7 ry &.r PROPERTY TAX#: <br /> LEGAL for naw construction: Short Plat/subdivision-..,,,,, Lot No. (attach copy along legal description) <br /> ^,-t. - ` r...L. -F 61 £d g li0,tl t(>ilAfil0N - ,. ... ..- <br /> OWNER NAME: 77/14/14 A. TENANT NAME(If Commercial):OWNER MAILING ADDRESS: area• • /7 <br /> aZ / erATE I/14 ZW 776' <br /> OWNER PHONE: kg, 0/ -- CPT q 0._..... OWNER EMAIL: .. . . .. ... .. ..._ .. �.��_... <br /> CONTRACTOR NAME; 6,7---:---(- / _ „ la f E A� <br /> CONTRACTOR ADDRESS: arseer 2J Zo PA-C45-CLe--- _ _ <br /> cITY )(--=0-0t1-- STATE LOQ .ZIP q Ce ( <br /> CONTRACTOR PHONE: 4- °Z52- 8(t CONTRACTOR EMAIL: 1.2-0.-).4.6i..65 feI'tCue 2,0.9 <br /> CONTRACTOR LICENSE#(REQUIRED): j�--v5rz4, . ;I - GI1YO5Ev.E;RET1 LSINESS LICENSE SQUIRED): OA it <br /> ZCL•Ji'"us-7i'.: -• .:i%1._ _ __b-' SiIYP..vi .o' v..wv .. ..... ...... .i CJ.��R`:cLta�a.s..t:'i:. ._ . _-.-,_ .. -- .. _ <br /> PRIMARY CONTACT: D OWNER 7 CONTRACTOR 0 OTHER(Please Specify) • <br /> �• <br /> CONTACT NAnn CONTACT PHONE; ( m ag <br /> 1L-(.1 Lit, CONTACT EMAIL <br /> 4 55'yltc,/Ct.-(opt <br /> •� ... =BUubYtiYt a>✓IziVt`l��i 1 I��ATfogVl • . <br /> Ekisting Use of Building: M Contract Price of Work:$ it I —� <br /> - Pro.osed Use of Building: Heat Source: tilGas I:1Eleofrle UOther _ <br /> Buildin• Type: DSFR Detached LISFR Attached ODuplex -_DMulti-Family-#of Unite: DCornmerclal ❑Industrial_ <br /> Type of Project: DNew ElAdditioon� �C1,(vZemodel LNRepali. IUT.I. I7Slgn DS•rtnkfer UDemolittori ❑Chan.e of Use - <br /> DBSCRIPTION OF WORK; dp�'�-,�Ov rpc4.4'— ey. (, .1— <br /> • <br /> ASSOCIATED BUILDINGPERMIT# if a.•licable: <br /> r.„'_'',.: 11)1AGPAO_IP4:& # 14 R'T P 14 ' (O . : PON-OW'012041t4004-1.0-A 9® .:- <br /> Typo of Project: JNow_ Arkin _Alteration _Repair r Type of Project; New _}lddn Alteration Repair <br /> I'YX Purrs List of Fixtures Fixtures List of Fixtures , Fixtures List of Fixtures f Ffx fur List ofFlxfures <br /> NC—Air Handling Units Heat Pump : Toilet— BackfiowPreventer Inside Bldg) <br /> tForced Air Systems Unit Heater —Bathtub Urinal <br /> ( - Gas Piping Boiler , Lavafo— Wash Basin ,III—Drinking Fountain <br /> Water Heater Refrigeration • ShowerII Floor Drain - <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Rama Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: - Clothes Washer - Medical Gas _ <br /> Range Hood _ Water Heater Other: <br /> Exhaust anf1 Sink(Service/Bar/Mop/eta) Other: <br /> Number of Heads <br /> ACKNOWLt=DG!iM5N7=I have reviewed this application and confirm the Infaimation contained herein is true and correct.Work done pursuant to this permit must comply with <br /> current federal,state,and local law.The granting ore penn/t only authorizes approved work and no deviations therefrom;Deviations must Naas errihaized In willing from the <br /> Buildhrq Offdalbe(ore being euihorlred under any cTiwumsfance,l em Me owner,or!am authon'red by the owner of this property to perronn the work for which application is made, <br /> end I compel with the State ContracforsLaw 18.27RCCW end 298.260A WAC. <br /> cityafEverattOfficial use Only ' <br /> 70 '0'7✓ 7(_f PER(IIt1T#vi, 1^ - D� <br /> 7wu er/Authorized AgentSignamu Date (Revised 5/2012016,) II <br />