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Feb. 22. 2019 8 :41AM No, 2062 P. 1 <br /> n- ., <br /> PERMIT APPLICATION <br /> BUILDING I MECHANICAL I PLUMBING I SIGI'1 i SP11 INKLER I DEMOLITION - <br /> `•• � �- _ <br /> CITY OF EVERETT PERMIT SERVICES <br /> ice' 3200 CEDAR STREET,EVERETT,WA 58201 <br /> '— (p)425-257-8810 I FAX 425-257-8857 1(E)evaretteps@everattwa.gov I wvrw.everettwa.gov/permits <br /> (L3Kt{e'ar Mack illk 6teiiy,Ple se - PIXQ,1)a6 3 i't IN OEtPJ1A"1PICatR - " _ <br /> PROJECT SiTE ADDRESS: ) t t)p 09 PROPERTY TAX#: Zq 05 3 (10901)6 <br /> LEGAL for new construction: short Plat/aubdivislort Lot No, , (attach copy of long legal description) <br /> -- . . -- . . .CoR`7`,A `r.liwl ONOIA IC9t , . , ,• - . , - - . ---- <br /> _OWNER NAME: Ot, 11 G fo4114. c_. TENANT NAiMIE or Commercial): /V 4 <br /> OWNER IVIAiLIMG ADDRESS: s1REEr 70 .4, r ' ei/we <br /> CnY - i STATE .1 i ZIP ` ,,ai o <br /> OWNER.PHONE: ', '6-08- O / OWNER EMAIL: <br /> CONTRACTORNAIVIE: CUG/2C. l' or-AJ ` rnr fC "1,41,61-4-c.. <br /> CONTRACTOR <br /> 41, ac- <br /> CONTRACTOR ADDRESS: arKET 22-1°Z�-,Or� o�`AG - istU t� <br /> CITY f✓V�YC•� l srAm uf 2p /C?) <br /> CONTRACTOR PHONE: 49.5.-2. -1;5// • CONTRACTOR EMAiL: u . • , Pif 44 .eztt, <br /> CONTRACTOR LICENSE ii(REQUIRED): rue-Q2.4.5 a , t CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): t)6 •! .. <br /> ter__ •-•-�_��•-�,.��-��,��:�_.�,. <br /> PRiMARY CONTACT: 1=I OWNER EZLCONTRACTOR Cl OTHER(Please Specify) - <br /> CONrACT NAME: • <br /> / CONTACT PHONE 4c.. //9 <br /> Al / lo-- CONTACTEMAiL; , <br /> .• _ _ ' BUILDING P Rli/1iTA ?L(CA`I'!(ON ' - ; <br /> Exlstin. Use of Building; Contract Price of Work:,$ i ,OC) <br /> Proposed Use of Buildfn!: Heat Source: OGas I5 Electric ❑Other <br /> Building Type: OSFR-Detached OSFRAttached IZIDupiex I]Multi-Famit 4ofUnits' _ ___ OCommerclal dlndustrfal <br /> Type of Project: DNew DAddttlon E7Remodel ORe air CIT.!. CiSign ElSprfnkler IMemolItion UChan.0 of Use <br /> DESCRIPTION OF WORK: At //)6 <br /> 7—K N,(1*‘) f5 v.crie,4s , er t „ - . . <br /> 00T000at wc•?.,1-9 ivtp f0 Ow F� fov7 wf f bv4 h 6000,40 (cud <br /> 740-c ��6 0-A) uK <br /> ASSOCIATED BUILDING PERMIT7I if a.gamble: <br /> 1111k—C TICAL OAkti li KOMIC'ATION i • • . PLUNII3IItNO P );;Pllll,i APPLICATION : - <br /> Type of Project: New_C Addn _Alteration__ Repair Type of Project: New Addn _Alteration _,•Repair <br /> Fixtures List ofFlxtures F/Xu° List of Fixtures Fixtures Lisf of Ftures Fixtures List of1/xtures <br /> A/C—Air Handling Units j_— Heat Pump Toilet BacI flow Preventer Inside Bidq <br /> Forced Air Systems Wilt Heater Bathtub - Urinal _ <br /> Gas Piping Boller - Lavatory(Wash Basin) _ iJrinkln Fountain <br /> Water Heater -_ Refrigeration Shower _ Floor Drain <br /> Gas Fireplace _ Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Ran ga Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other; Clothes Washer Medical Gas _ ' <br /> Range Hood _ Water Heater Other: <br /> Exhaust Fan _ Sink(Service/Sar/Mopfetc,) Other: <br /> m11Number of Heads <br /> ACKNOWLEDGENEM•mays reviewed this appiketion and conl/nn the lint mullion contained herein is Prue and contact Work done pursuant to this peril must comply with <br /> current federal,stets;and local ism The granting of permit any author/zas approved work and no deviations therefrom.Deviations must Drat be authorized In writing from the <br /> Building Ot7clel before being atdhorized underany clrcumslance.I en the owner,orl am authorized by the owner of this property to perform the workiorwhich application Is made, <br /> and l comply with the State Confieckvs Law 10.27 RCW and 290..200A WAC, <br /> CIV ofEverettOfficial Uee only <br /> PERMIT-• <br /> �r\-\.„9 . __ 1-172 /7Z / u01_ — 0 ' <br /> Owner/Authorized Age ? aEura Date (Revlseaf512O/2Oi) - _ <br />