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BUILT I MECHANICAL/PLUMBING I SRN [SPRINKLER/ DEMOLITION
<br /> CITY OF EVERETT PERMIT SEI .._S
<br /> a ` 3200 CEDAR STREET,EVERETT,WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/perrnits
<br /> (14140: ir-ciiiclOauB ,Ogigiy P11ii6) :' -. 1034001r$I(b 1#i ) ® 10411EN •.. •.
<br /> -rPROJECT SITE ADDRESS: )._°II La 9"4--c . Cet(e tr t UO A I O( PROPERTY TAX#:
<br /> LEGAL for new construction: Short Plat/subdivisioluil-t.i"IA Lot No. (attach copy of long legal description)
<br /> OWNER NAME: iliOak.I.I tN21(.?-) TENANT NAME(If Commercial): t-Lci-w_FS At) a( 5 r p tedie_Z R_
<br /> OWNER MAILING ADDRESS: sTREET k '`"ti
<br /> Crit' STATE ZIP
<br /> OWNER PHONE: r OWNER EMAIL:
<br /> ... ...... ....5Lt... odil.Vte m. _.. . . .,..I, 2m q P10 .. .m,.
<br /> k CONTRACTOR NAME; eti/14
<br /> CONTRACTOR ADDRESS: STREET `j IIP . 4FAt e ' 4 , 4 '' 10h-�`e•so-0 61 Hz I la I
<br /> CITY _VQ f,•T STATE ‘AJA1/4- ZIP lq, ,,0 I
<br /> CONTRACTOR PHONE: -11o2S , Z?.Cl 0 CONTRACTOR EMAIL: i ).4t& yivie p..,,,f,d/co,covii
<br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):
<br /> ....M ... ..,.....;...,,,. ,.o-,,y.,,. ..a,.10., , . ,._... 1-,,.,..y-.....v.•1.w.,.,. .,..._ak..n•-,,,...-. ... .,:_ .,.4.,-,....,,S.-.,7•••eti.,.,,,aff..24,1M.0--.....,-,.....,,, .._._......,,w. .µ ,,v,w....-,.ti,.._.M..,„ N.. Y
<br /> •
<br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE:
<br /> CONTACT EMAIL:
<br /> . - . •UILDI ,- - .
<br /> `. ';_-:- • -- � '' --. ... : . . :.B NG.PERNiIT:i4PPLICATION � - . -_ - -
<br /> 0
<br /> Existing Use of Building: Contract Price of Work:$ i b DO. 5
<br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ©Other
<br /> Building Type: ❑SFR-Detached ❑SFR-Attached [Duplex DMulti-Familyfi of Units: ❑Commercial ❑industrial
<br /> Type of Project [New [Addition ❑Remodel ❑Repair DT.I. ❑Sign @Sprinkler ❑Demolition [Change of Use •
<br /> iliv DESCRIPTION OF WORK:"
<br /> 1 IVtrS
<br /> . I (1-1) r,o6egi amtvot ,Irewill/c(y16119/
<br /> 11
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> . ....M_ECHANIC-1.(P10MIT"APPA.hG1�T+ON. `• iP . :11N0 PE r. I ..::0.0110AT11O , ...
<br /> Type of Project: New Addn Alteration Repair Typ- • Project: , , Addn _ - • 'on -ep -
<br /> #of #of #of #of ow
<br /> Fixtures
<br /> List of Fixtures List of Fixtures ist o
<br /> Fixtures Fixtures Fixtur• 4 �-
<br /> A/C—Air Handling Units Heat Pump Toil- : ow Prevent-,.o side Bldg)
<br /> Forced Air Systems Unit Heater '-thtub rinal
<br /> Gas Piping Boiler L. -tory(Was :.si Dri ' g F:"" ntain
<br /> Water Heater Refrigeration Show- Floor.. .-• -
<br /> Gas Fireplace Wood Stove Kitc - Sin' Dis+: - ~ase Trap
<br /> Gas Range Ducting ►- washer .of Drains
<br /> Clothes Dryer Hookups Other: Clothes . her e+i
<br /> 000
<br /> Range Hood Wat 'eater ethe
<br /> Exhaust Fan 3 •-•4 (Service/Bar/Mo. - c.), 1.. er.
<br /> -. .. ....,7'.
<br /> :1-. ::. S0#1IfiditLERI$.0.)P. �$.I®4:S'Sf�7`EM..i . ....
<br /> I Number of Heads
<br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with
<br /> current federal,state,and local la -gran in• •f a permit only authorz Fayed work and no deviations therefrom.Deviations must first be authorized in writing from the
<br /> Building Official before bei :uthorized under an circumstai, .e- m the owner,or!em authorized by the owner of this property to perform the work for which application is made,
<br /> and l comply with the . -te Con rrrm,-.,,, and 296.200A WAC.
<br /> / City of Everett Official Use Only
<br /> '` #r PERMIT
<br /> • C�b1- 635
<br /> Diivrieerodzed Agent Signatu a Date (Revised 512012016) "`
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