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02/06/2018 TUE 13: 05 FAX Fast water Heater 1006/007 <br /> (37) '- --8" -67 <br /> PERMIT APPLICATION <br /> 7. BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> - CITY OF EVERETT PERMIT SERVICES <br /> " 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-5810 I FAX 425-257-8857 I(E)evarettopsgeveretlwa.gov I www.evereftwa.gov/pormfts <br /> `(Blue or Black Ink Onl Please) PROJECT SITE INFORNMATION <br /> PROJECT SITE ADDRESS: • / , ► 0( -4 r 1 PROPERTY TAX#: A % P 0,0 y <br /> LEGAL for new conetruclion: Short Plat/eubdlvlalon Lot No, (attach copy of long legal description) <br /> COP4'rACT INFORMATION <br /> OWNER NAME: T I l i l '1 /A) .. ? TENANT NAME(1f Commerclal)r '—-- <br /> OWNER MAILING ADDRESS: mEar p.(2 -. )�1. �-y� <br /> COY 1.4 l'..411 mere VV „ iro-.61 <br /> OWNER PHONE: a. . to°O616-2- OWNER EMAIL: - <br /> CONTRACTOR NAME: ,Alk +STl !. T <br /> CONTRACTOR ADDRESS: STREET �} J f'� f s..1/g. S PIC l n /x� <br /> CITY 0 V t /L.-1.--L.-1.-- . - STAIR met _ zip 9 nit <br /> t <br /> - <br /> CONTRACTOR PHONE; )$ (4;16., D'1 CONTRACTOR EMAIL: • e V1) 1T S ie I k-W A ,l. V 2/-}e/l-. ,lb <br /> CONTRACTOR LICENSE#(REQUIRED):ViSnA V\\9 9 R BC CITY OF EVERETT BUSINESS LICENSE#(REOUIRED)5/453 <br /> PRIMARY CONTACT: 0 OWNER (CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: �/ CONTACT PHONE: i , ge <br /> KA- 1`�,1L 11 l._ CONTACT EMAIL: P ° ,1-j-"S fr I 1 i I.,4-w. £yvi <br /> Bl1ILDWNQ PERMIT APPLICATION <br /> rEmail. Use of Building: ✓ a ' ' Contract Price of Work:$ °"1 tQa <br /> Proposed Use of Building: -- Haat Source: as ❑Electric ❑Other 4- <br /> Building Type: ❑SFR Detached b1`'SFR-Attached IJDuhlex '► - Family-0 of Units: t Commercial ❑industrial -. <br /> Type of Pro act: ❑New ❑Addition ❑Remodel *Repair 07.1. ❑Sign C Sprinkler °Demolition l7Change of Use <br /> DESCRIPTION OP WORK: <br /> inn 0v 1 re \Oce CkS OL'iS. VA.Cat-er <br /> ASSOCIATED.BUILDING PERMIT#(If applicable). + LAI yid LTD r i' / 11 <br /> MECHANICAL PERMIT APPLICATIONPLUM WNail PERMIT APPLICATION ff <br /> 'rypa Of Pro)act: taw` _Alteration AddnAlttion ,_,Raper Typo of Project: _Naw , Addn _Alteration _Repair <br /> "F/xtu of ' Lief of FYxturea F/ List ofPIxtures prxtu List of Fixtures ree Gist of wlxtures <br /> - "A/C--Air Handling Unite Heat Pump Toilet Backflow Pr;-enter(Inside Bldg) <br /> Forced Air Systems Unit Hester Bathtub it— Urine! <br /> ` do Gas Piping _ _ Boiler Lava . . DI'Inkln._ <br /> 'contain <br /> Water Heater Refrigeration Sh., : Floor. air <br /> Gas Flrepiace Wood Stove chen Sink&Disposal Cr;.se Trap <br /> Gas Range Ducting. 'Iehwasher r sof prairie <br /> •Clothes D er Hooku a Other: . 4 lathes Washer. I°dice)Gas <br /> Range Hood _ titer Heater 0 :r: - " <br /> • <br /> Exhaust Fan _ Si (;Service/Bar/MojOpel/et O . - <br /> SPRIN. • - - - -gS810 . : -M <br /> • anima or :p= • ---"1"111L ..of Heade - <br /> ACiCNOWL[rDGr:MrnNT:I have reviewed this application and confirm' the informetlon contained herein Is true and correct Work done pursuant to this permit must comply With <br /> currant federal,stale,and local law.The granting of a permit oe/y authorizes approved work and no deviations therefrom.Deviations must"rat be euthorIzed in writing from the <br /> Building Orliaei bolsie being authorized under any circumatance.I am the owner,or/am authorized by the owner of this property to perform the work for which application Is made, <br /> and I comply with the State Contractors Lew 10,27 ROW and 2052QCA WAC. <br /> a T CID,of 4veratt Official Use Only <br /> g.41 1 j� I ' o� - ( 0 PE► ` \.\ 02 -01 <br /> Owns •uthor-a; Ag=- Signature Date Rev se 9/23/2018) <br />