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<br /> 01011PPERMIT APPLICATION
<br /> BUILDING/MECHANICAL I PLUMBING I SIGN / SPRINKLER I DEMOLITION
<br /> 411CITY OF EVERETT PERMIT SERVICES
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<br /> 3200 CEDAR STREET.EVERETT.WA 98201
<br /> 4"..' ,',', oc I r P,X 425-257-8857 1(E)ever0,teps@everet1wa,..(o\,. VAWV.everettwa gol.,(DermIts
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<br /> (Sinn or Slack Ink Only Please) PROJECT SITE INFORMATION
<br /> PROJECT SITE ADDRESS: 2,.0 k? eicix,...Ks fr4-40"`e-- .PROPERTY TAX#:
<br /> LEGAL -..,'.le=4,,x5nst,,,r,t on Short PfaVSubchytsion Lot No, (attach copy of tog iegat dew.noon)
<br /> CONTACT INFORMATiON ,
<br /> OWNER NAME: ni 1 vc.„.. Cre.yil TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: sTnEr As (23 C>40‘...
<br /> ,1,
<br /> OWNER PHONE' , - 3 .,... 1 cs,,,,. OWNER EMAIL:
<br /> CONTRACTOR NAME, NWEATHWORKS, LLC
<br /> CONTRACTOR A00' R:,:',7' 188244;TH AVE NE
<br /> .. . . ,
<br /> crm ARLINGTON
<br /> STATE WA p 98223
<br /> CONTRACTOR PHONE: 425418-9545 t,..--,,,;.;,,,'::,-,-;,;.4,,,..- 2':i.,,,;f3( NWBATHVVORK S@GM AIL COIVI"-______, s\
<br /> CONTRACTOR LICENSE#IREO0I- 4,444NVVEIATI3L855PA art OF EVERETT BUSINESS LICENSE#REout ): 57184
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<br /> PRIMARY CONTACT: 0 OVVNER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME; CONTACT PHONE: ICirts——3 39 5-1 Q;,.. .s
<br /> ,,
<br /> 1/11 &&I1‘. 1‘......._ (i-e4.,, 6,...,--- CONTACT EMAIL:
<br /> r4/44
<br /> WILDING PERMIT APPLICATION
<br /> Oniing iise eT.,t, ',Kt'
<br /> Corttract Price of Work: $
<br /> 2rop0Sed Use of Building ) '' ' ,," ;: ,/,',4 41,: ':';',..i''
<br /> . ,z ;,,, "ZA,;-,;- , ,.. , , .s.,,,;,„„&., - • ,-- - • _
<br /> Buil*.q?t $401 0 F ll'" :..Y l,I' I $ Attached ttallA*ft -,T.71,1. ',".:''="."'i:•°'''' ',.!!.. ..',';',.:.:.;';',:, ' - '11!..t.;,,,,,Y,', •,',,,..:, CtInd -,. ':,
<br /> Tvne of Project °New ElAdaMon EIRernodei 1:3Repair DT I 0 Sig rt OSprirkier ODernolttlon OChange of Use
<br /> DESCRIPTION OF WORK:
<br /> ASSOCIATED BUILDING PERMIT#tit applicable):
<br /> MECHANICAL PERMIT APPLICATION '41,:.;....:,.),,....f„'EtaPERMt1- - -
<br /> -iype of Project _New Addn Aiteration Repae- Type of Proleiat ' New Acton Afteretion _Repair
<br /> #or #or #of a Fixturesof
<br /> List of Fixtures List of FixturesList of Fixtures List of Fixtures...,
<br /> Fixtures 'rtxtf4TOS Fixtures,
<br /> AJC—A4r 4,106411", 1 iiiti Heat Pump virNi Backflow Prevemar inside Stog)
<br /> Forced Alf Systems 'Unit Heater Bathtub Urinal
<br /> GaSifl.,,m)ort, 'Boiler Lavatory(Wash Basin) Drinking Fountain
<br /> ". rem,•
<br /> I Water ,,,„:„....„' Refrig.2i2L2L1 Shower Floor Drain
<br /> Gas F4 :..'''...:47:. Wnod Stove Kitchen Sink&Disposal ' 'Grease Trap
<br /> Gas R. r: ,Duceng
<br /> Xishwasher -• Roof Drains
<br /> S1.900?$ l'' ''''2 '1 Ili'l l,' ' Otner ,s.. lothes Washer Medical Gas
<br /> - "
<br /> Range Hood ‘P WitirtNataii Other.
<br /> Exhaust Fan Sink(ServiceiElarilVlopieto.) Other:
<br /> SPRINT(LIIII:;r1MIPPITiSTITOFIETTITTIENT
<br /> tOternicaf 0401 I No of Heads
<br /> "----
<br /> , . .
<br /> 110, « :- •010000T# ' * ;';"Ji4:7':I0001:00,„'‘ i :':=k-i;" 4,4',':-I',Il;:*,,,,:v:-44144.0--..
<br /> tim.*dui'WiJj54e ir'Zr,,'r oft. 'r, ,' fkbr Jetze$440ftetee'.1!:' AWt*Ottvistit7t' .-t,!:t °.., 'X;747.',:„,",,:.<.,:.!•.•'.,
<br /> a .2,,, .- %•!4:44b,e,beivautivono atieti'iiikactirnstanoo.,fern the mmer or li•ativaUelettliKail**00000 :140`-'' t'i''''-l;l"'It1i.--
<br /> a.;,:'!-::::::: r"(1.th(he Siete Coesefers.4..to 18.224eCW and 4420A*AC-
<br /> .---m- , 1.400*
<br /> PERM(7''''''' __.....
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