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2315 7TH ST 2019-05-23
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2315 7TH ST 2019-05-23
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Last modified
5/23/2019 10:48:30 AM
Creation date
5/23/2019 10:48:29 AM
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Address Document
Street Name
7TH ST
Street Number
2315
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'` PERMIT APPLICATION <br /> 1P' BUILDING I MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> `1 CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 i FAX 425-257-8857 1(E)everettepsti7everettwa.gov i www.everettwa.govipermits <br /> (Blue or Black ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: :7IS 144-1 srt <br /> PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. attach copy py of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: I IV & '�Lr TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: STREET 5c'I,VMA•"'L <br /> CITY 6)ei AA01 STATE - ZIP C(8x I <br /> OWNER PHONE: Liolc 55145 S1 OWNER EMAIL: <br /> CONTRACTOR NAME: OM HDel It 1lG- <br /> CONTRACTOR ADDRESS: STREET 1416,.`Bybad t 'y <br /> CITY el h�'Zet `�-,'v'\ STATE WA_ ZIP ??.0 <br /> CONTRACTOR PHONE:L5 asci 1 o5 5 S,, ICO�ACTOR EMAiL: detithe„e rOCIe to eat vt , w <br /> yyl <br /> CONTRACTOR LICENSE#(REQUIRED):;Cmh.m l'Yjr t�Q lid n CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): !UC <br /> PRIMARY CONTACT: 0 OWNER i I CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: n f CONTACT PHONE: Has asci 0::::---0 <br /> .Y e/ CONTACT EMAIL: de b.b(e fl m &et iicj •toM <br /> 1 BUILDING PERMIT APPLICATION . <br /> Existing Use of Building Contract Price of Work:$ ;t4,4• -t o <br /> Proposed Use of Building: Heat Source: El Gas XElectric ❑Other <br /> Building Type: ys <br /> FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family,#of Units: ❑Commercial ❑Industrial <br /> Type of Proles eCINew ❑Addition ❑Remodel Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> 1V15 .4A1 t pu itike °I- Air r havld <br /> ASSOCIATED BUILDING PERMIT#(If applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New _ Addn _Alteration Repair Type of Project: New Addn Alteration _Repair <br /> #of List of Fixtures #of #of <br /> List of Fixtures List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units 1 Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) DrinkingFountain <br /> Water Heater <br /> Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range ^ Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater <br /> Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water 1 No.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 law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized fn writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296,200A WAC. <br /> City of Everett Official Use Only <br /> 1I C to , 5.,7 PERMIT# WI I^ C -'` C n <br /> 'Owns Autl�d Agen ignature it D UfV1((�/ <br /> Dale (Revised 9/23/2016) <br />
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