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/41111°Ikfikv,/^—gr-- PERMIT APPLICATION
<br /> BUILDING / MECHANICAL I PLUMBING/SIGN I SPRINKLER! DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET.EVERETT.WA 98201
<br /> R---,425-257-8810 I FAX 425-257-6857 1(E.)everetteps@everettwa.gov 1 www.everettme goyipermits
<br /> (Slue or Block Ilk Oroly,PloosO) ' PROJECT: AJTE iltirORMA Tipti 7, ::4r.,' ,
<br /> 'PROJECT SITE ADDRESS: SI H 5o)44eN, 3 R ID 144,-4c-- .. LPROPERTY TAX#: 00 Soo ,3c,)
<br /> LEGAL for row construction: Shan Plat/subdivisionLot No, (attach copy of tong Ingw descripttom
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<br /> OWNER NAME: AA TENANT NAME(If Commercial):
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<br /> OWNER MAILING ADDRESS: Finset- 5"1 1I-1 5, , 3 ots) pe4,0 c..
<br /> Evcy-e4.-- 1,.„,,,, 4..41'
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<br /> • 'liteoe- '';':77;'• 4 7,,L;>--- -Z-t-t\p- F77 5 OWNEREMAIL: ."Loriff/9
<br /> CONT7: '..e•-' 11 ::: • NVVBATHWORKS, LLC
<br /> CONT-':'•:,' '..":','•••:.,;';„;lkSz 1882444,TH AVE NE
<br /> cre, ARLINGTON ,-...,-,..WA „,,,, 98223
<br /> coN ,"--,•:„-:•,,----5-f,-,c,"'::;,,.' ;ti 425-418-9545 .,, 'I7.:L.: NINBATHWORKS@GMAIL.COM
<br /> CON ,r' f4;4'' ,,I'S .ii2'4l4';.(-fl..-fi,l,=(-, it-f- NWBATBL855PA CITY OF EVERETT BUSINESS LICENSE#(REOUIREo); 57184
<br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME NAME; CONTACT PHONE: i-'1.15--Di to-
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<br /> I C2cAiey-% 1 c•-v-\ (7\ 14--Z CONTACT EMAIL:
<br /> ilittitviV046PERrilfr*SUCATiON - ' , , , ,.,
<br /> ExistriaLlkot011ikillql: , Contract Price of Work:$ 31100_00
<br /> ,-;,,„,: :f.:46i =It.I.I.4.. .::
<br /> Pf°posed Use of Buildin., „,,,,,,,.,,,,,, , ,,7 ,,,,, ,, ,„„,,,.
<br /> --- ,'-' ' .1 , , .-:,,;,' ,,44iii.t, eiNii* ,11.,,f4,1.:)47,t;,4,:::,.,tt '-',I,II,.-4-4-I': :'.11 MOM: 'z,,2_,: •„,k-(3:, ..ii.,-...,,,
<br /> ak*ClIEIll Type= '1:18FtIll."‘-v ,'' '4!*,,. 4' :: ' *Arrr =' = • _ . - ..4 4—-.... •- = •
<br /> Type of Project: ONew DAcklition DRemodel ORepair OIL °Sign C3Sprinkler ODernolition °Change of Use
<br /> DESCRIPTION OF WORK:
<br /> (,)f-i(A4,41-Tr rLeir"-fiQ ., */()Ill
<br /> !ASSOCIATED BUILDING PERMIT#(if applicable): .
<br /> ..,,,
<br /> MECHANICAL PERMITAPPLICAlill ' ' It"ittitt"ti'- - - -:-- "'.2
<br /> type of Project New Addn Alteration _Repair 14P4Oect: ,-L-Now :„..-';041414 ;;,;.14itlifit0-44#0, --'4Repair
<br /> -
<br /> #of #Of #of
<br /> Fixtures
<br /> List of Fixtures Rxtures List of Fixtures i ."1*-i:,, , List of Fixtures
<br /> Fixtures
<br /> /14-*AletifaiidlIng-UrataHeat Pump i` t..",-..,, Backflow Preventer(Inside Bldg)
<br /> Forced Ae Systems Unit Heater *Bathtub Urinal
<br /> GiSAt:,ii Boiler Lavatory(Wash Basin) prinking Fountain
<br /> '
<br /> 1#1atef Heater
<br /> . Refrigeration Shower Floor Drain
<br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap
<br /> Gas'-: 4., Ducting Dishwasher Roof Drains
<br /> 0104iift* Yf4644i Other: \Clothes Washer -. Medical Gas
<br /> Range Hood '141i*I ---7--------- ,Other:
<br /> Exhaust Fan Sink(SeniloolBar/Mopietc.) Other:
<br /> i . . 4 ,
<br /> spat'1.7„.7: ISlti -:'1,1'77.= sytifftlyts • '
<br /> _ , 4 , _ -
<br /> -. .. m
<br /> ' ' --'No. of Heads
<br /> .. . 1
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<br /> " Otr.
<br /> ' i* 14f/A0, ::.' .':fieria0tiredlIatO bla Oen*MtitStPantpitv with
<br /> ?.::,1,,,s„*.':°.1,..4:'.'4,44 .="0.-;•.:F:.?":"7-;,.. .-::-:...: •:::`,.>•",‘,.'-'••:,„-,.•°2-::','•':':;:•.,-'-, ,,,'-',,'''•• ''•'-'-, :, ' '''',..4\iiszw,''""' iiii,iti:' "'!'''.•'''''''.1414000tfit''''')''''''•.i'.'''',.''-, atithofizeelift veiling Poen the
<br /> •;,a.'-'7',VS:',,',,e''''''':"I '7''-'''7?1,00.*OIV‘tof '''''-';- ''6** -, ,, 'M*1-*'-'1-'=,,-.,,416'1.- --':I-Z- ,', •'''', -'• ;:;;7‘."''' 'z• '',', '' -, $6t OatithIpAlitiOtiOrif$iftior*
<br /> *41 OwVatit(ifittiiiitp*Laik 1#21'!"*.t>:::,.#14141i44 0,04:
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<br /> PERMIT .
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