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02/06/2018 TUE 13: 05 FAx Fast water Heater 20 07/007 <br /> g.-0”67:1 <br /> fo' PERMIT APPLICATION <br /> BUILDING I MECHANICAL/PLUMBING/SIGN I SPRINKLER/ DEMOLITION <br /> /*/:/&-I . CITY OFEVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 58201 <br /> (P)425-257-81l10 I FAX 425-257-8857 I(E)everettopeUeveretlwo_gov I www.everettwa_gov/permlle • <br /> algae or Black Ink Ona Please PRtO.JiECtI'SITE INFORMATION <br /> PROJECT SITE ADDRESS: ; i PROPERTY TAX#: / i �����t,/I a W <br /> LEGAL for new construction: Snort Piet/subdivision Lot No,__ (attach copy of long lege)description) <br /> CONTACT INFORMATION <br /> OWNER NAME: ,',, I /.‘Ad" i, h a S TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: sTaear 61 <br /> /el � i .4(�j OP 312 D A )- A 1 1 , '//�� /V} /�p�,� <br /> _____ cn- ' A / . mwm ! A/1 ._ 21P 1 /�/ <br /> OWNER PHONE: 95- L4 L J `4"Li p OWNER EMAIL: ll// "" <br /> p <br /> C_ONT_R_ACTOR NAMEI ST + 'j . <br /> CONTRACTOR <br /> _ ADDRE33: _� ±.CaDip <br /> cm011A t.r.L- srn lki 'p Q 'O <br /> 1 <br /> ( ((��� <br /> CONTRACTOR PHONE: —05 to3U 3"1 CONTRACTOR EMAIL:P QVVl 1 S v-- �-uO i r. <br /> owl <br /> CONTRACTOR LICENSE#IREQUIRED}:'AAs- u�rtO{ ,CITY OF EVEI�ETT BUSlNE55 LICENSE i!(REQUIRED) (''OJ_ <br /> PRIMARY CONTACT: I:1 OWNER (CONTRACTOR D OTHER(Please Specify) <br /> CONTACT NAME: �/ CONTACT PHONE:{��,rL 0� -3u, 1, <br /> t�`"T %a 'CONTACT EMAIL: 1'-e/t i/l'I-- dia <br /> ill. x-ie,r, <br /> BUILDING PERMIT APPLICATION <br /> 1, Existing Use of Building: Sr- Contract Price of Work:$ ..,z- ^e4 } <br /> IN Proposed Use of Building: 5' Heat Source: agrpas DElectric LIOthar <br /> Buildin•T •e: O SFR-Detached EISFR-Attached ODu•lex OMultl-Famll -#of Units' DCommerclal K]Industrmal <br /> Type of Protect: New DAddltion ©Remodel SAA Repair ©T.1. DSiign DSprinkler DDemolltion EIChansie of Use <br /> DESCRIPTION OF WORK: <br /> f ‘11() 0\l'e / IreQ\Ae 679—S IA)oL.-k-elr \A c OC,tW <br /> ASSOCIATED BUILDING PERMIT# If applicable).: <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration __RepairType of Project: New _ddn Itaratlon _Repair <br /> Fixtures <br /> Us(of Fixtures Mums Liat of Fixtures �x our !_lot of Fixture Flx(ure6 List of Pbcfuree <br /> NC-Air Handling U_nits" - _ Heat Pump _ Toi: Backflow Prey: ter Inside 81d, <br /> Forced Air Systems Unit Heater B- htub Urinal <br /> ` Gat Piping Boiler L=vatory(Wash Basin) DrinkIn F•untaln <br /> Water Heater Refrigeration S ower Floor• .In <br /> _ Gas Fireplace Wood Stove KI chen Sink&Dia•osal 's Tra• <br /> Gas Range Ducting DIIZZIVT0 Drains <br /> Clothes Dryer Hookups ' Other: Cl• dice'Gee <br /> Range Hood _ Wa . Heater Oth,. ' <br /> - - —Exhaust Fan Slnk =MceIBar/Mop/etc. Other: <br /> SPRIN$LER-iLSUP R 3SIO SSE M <br /> rgmloal or W • No,of Heads <br /> ACKNOWLEDCEM NT:I have reviewed this application and confirm the Infom,alon contained herein is hue and correct.Work done pursuant to this permit must comply with <br /> current federal,stater and local law.The granting of a permit only authorizes approved work end no deviations therefrom.Deviations must Met be euthorl2ad M writing from the <br /> Building Owe!baltaie being authoazed under any ofieumstance.I ern the owner,or I em authorized by the owner of this property to perform the work for which application!e made, <br /> end 1 comply with the Slate Contractors Lew 1&27 ROW end 290200A WAG <br /> Oily of Everett Oficial We Only <br /> ...i! Jl, a-c.o --1 Pit#«62 - 00( Qt <br /> Own uthorze Ag etEignsture Date (Revised W23/2018) <br />