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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLERlDEMOLITION <br />CITY OF EVERE"fT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-?57-8610 FAX 425-257-8857 �wwv.everettwa.org <br />APPLICATIONS ARE ACCGPTED FROM 8 AM TO 4 PM �%� �O ��. <br />E ADDRESS: • PROPEATY TA%N PERMIT � <br />004390%35CC.CC .2 lL)'Cil <br />3113 Rockefeller Ave, Evez�ett, ��ia 99;0: _ <br />lor new consiructicn Shotl PlaVsubdivision _ <br />:iicicen, iCim <br />No (�ttach copy of lony legal Aasc�iption� <br />42?.233.030i / hal:efj?yahoo.com <br />Owner '< Ovmer'cAgent _Contr3ctor _ Contractor'sAgem Tenant�:^�..+�r-.c..a.c-E�m.o-sento�-.mec��crioaov.c���-.xesc3:�1 <br />� <br />currently oM�ner occ�.:uicd ' vacan: <br />COE Bue. Lic # <br />.,__....ec[u:'a'. _,�_ic.^. n.�scc. - .:..., . :'aC� <br />��a�F-mai �:5._:=�06c1 / , ..,r.,as.;arc:-resigr: _ <br />BUILDING PERMIT APPLICATION CONTttaCr PRICE oF WORK _* <br />Existing Use of Building Of f ice � <br />Proposed Use of Building �'--f ice _ Gas_ <br />Building type. _ Single Family _ Duplex _Townhouse _ Multi-Pami!y _� Commercial <br />Tvoe of arotect: ._ New _ Adtlition Remodel x Repair �� T.I Sign Sprinkler _��:no <br />of Use <br />)ESCRI PTION OF WORK (adertronai spaca pro��ded on tne �acki : <br />Renovate exi�ciny 9athrooms s Kitchen, remove exi�cing oe��; :.: lobby 5=�eriace v.,�ea':: tio :.=-��i`=e-" <br />load to Rew pcccs .+c H���il, `r;no�;•' !:a?: •sal" '.: lobb.' S i:c':s:•= __..___.c_ .. �na^ o'.:[. <br />MECHANICAL PERMIT APPLICATION <br />of ProjecC _New,_Addn _Alteralion�Repair <br />Show Numbcr (aJ o!lirtures � <br />' FVC — av hantllmq unrts <br />� Forced a�r systems <br />Gas piping " <br />�� Water heater ; <br />' Gas fire0lace . �."i� <br />Gas ran e �, I . �- <br />' Cblhes dryer - ,,,) ;� � <br />' Range hood ' � <br />Exhaust fan : I `✓ <br />'� Heat pump I = <br />� Umt heaier <br />Boiier ' <br />' Refngeration <br />Wcodstove <br />Ducnn9 <br />Other <br />SPRINKLER I SlJPPRESSION SYSTEA <br />� Number of Heads <br />PLUM'.SING PERMIT APPLICATION <br />o(Project: _ _New_hddn _Alteralion �_Repair <br />£�ow Numbw (a) o/lixtures <br />:. Toilet <br />Other. <br />Gas <br />� � e;cpy wi1:'y tndl I Itave icail and C+amineC Nis apPh�tan ana know t�e same ta pC Imo an0 cOrted NI p:ovis.ons ol larv�s ana ora�^.a�ces goveming t��.s ype ol work w.11 �e com01ie4 <br />wnn v;mnnei ypeubee nrrc:n or noi ine grantng ol a pertnil Goes noi pmeuma Io grve aulnonry m vulate ar c.a.�cei me p:m;..an o� eny o:ne� �iam cr bcai iarv reguiaf��g constmr.ron <br />i�al I am autnonactl cy me m�mer ol ims pmporry to petlortn tne work lor wn�tl� applrafwn ¢ maGa anG I camvN �'���� �''�' Staro Cmmar.mrs Ldw 1 d 27 RCIV a��o 296 200A t7f.0 <br />�! //� �� <br />!� �� �� _� �� <br />;- ., �. _ i�,/ro/�. <br />"OwnodAut�:odAgentSignatum.- -� /�atd 1Revi5ztl620721 <br />