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PERMIT APPLICATION
<br /> /411‘4011110V<;---A'A41.1P2--- BUILDING/ MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET,EVERETT,WA 88201
<br /> (P)425-257-8810 1: FAX 425-257-8857 ,(E)everettepsli-verettwagov 1 www,everettwa.govipermifs
<br /> (Blue or aiii**Only Pioaso) PROJECT SiTiiii40011TioN777'''
<br /> PROJECT SITE ADDRESS; Li to v9 ii LiefSi.-J'\ 1?)1 vd PROPERTY TAX#:
<br /> LEGAL far new construction Snort Ptattsucappsion Lot No , iattach copy of fang begat(*scrip/torn
<br /> CONTACT INFORMA1T914
<br /> OWNER NAME ,17-t0 %ny ,i - '/Vii,v-N TENANT NAME(If Conirrierciai):
<br /> OWNER MAILING ADDRESS: erase? Lir) 14 1 i iti,,,,,,,,,,,je.‘
<br /> a. C 3-e,..x,
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<br /> OWITETT)'•*.iji..4....„(,*(;) # # _ - # A ,,,,,,# OWNER EMAIL:
<br /> CoNT : 1-t.',' NWBATHWORKS, LLC
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<br /> CONTRACTOR : .„„.. „
<br /> ,-,,,,:(-:f.• 188214TH AVE NE
<br /> Orrr, ARLINGTON sr,),7E VVA z, 98223
<br /> CGNTRACTOAA4G*4/g 425-418-9545 et1STOJitittilt il,, •''.. NVVBATHVVORKS@GMAIL.COM
<br /> CONTRACTOR L -1 - NVVEIATBL855PA ci TY OF EVERETT BUSINESS LICENSE a(REQUIRED): 57184
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<br /> PRIMARY CONTACT: )lif-OWNER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE:
<br /> C7CAN11%kil 421yvt ift, CONTACT EMAIL:
<br /> NILE
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<br /> It Contract Contract Price of Work:$ .....$'1/0000 .... .
<br /> Proposed Use of Buildipii: , ,,,,,':'''#1,', •', , , ', ,, ;••;, 'Z'''' '''
<br /> .atiO3:77ii,i ,I, -1:3t.#04** :::, <ii:-.”.i .i.,g'i,;;-.a,.,, ,v1. ,i,,,,--• 12) . ,tii',=, '::*:'i.il-, STIgAlt: ,t!‘k ,6i;.
<br /> Type of Project0 New 0Addition ORsimoclel OReciair J7 t Sign CISpnnkler 00emolition 0Cha riga of Use
<br /> DESCRIPTION OF WORK:
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<br /> 141/9 C el.\ 1".€-4-," C-I Ae kii-C.
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<br /> ASSOCIATED BUILDING PERMIT a if appacable)MECHANICAL PlintiA:0004.160:T.ION , ....„:,- ;1,A7,,,,.,,,,,L"?:-.'..,,A.,° .t..4,..!
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<br /> Tvpe of Project: New Adele Alteration Repair TIMORtft0*.# 441.6W .4. 0000 --AMOWNI —ROPtir
<br /> ' 1 . - ... ..,.. - ....
<br /> ist of Fi
<br /> *L't List of Fixtures Lxtures FixtuqList of Fixtures Fixtures QIN a RXTUrOS
<br /> ILI krtims Fixtures ts , ,
<br /> * ,Una* Heat Pump Tee* Backflow Preventer(Inside Bldg;
<br /> Forced Air Systems Unit Heater Bathtub Urinal
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<br /> pt.mg, Boiler ,Lavatory(Wash eas In) prinking Fountain
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<br /> i ,teiF, ,,;.g, Refrigeration Shower Floor Drain
<br /> --(., - •
<br /> Wood Stove Kitchen Sink&Disposal Grease Trap
<br /> •••*. ''''''!'-‘-''''' Mill Ducti • Dishwasher Roof Drains
<br /> Other Clothes Washer 4Medical Gas
<br /> , ••
<br /> Range Hood (-i:-, Heitfet 'Other,
<br /> Exhaust Fan Sink iServide/Bar/Mopietc,T `other.
<br /> attonntxtER"su ,;.,0traociOssrito;:,„' ':.,
<br /> ) No.of Heads
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<br /> *woof Lt-tt"tt4ti.‘ttt11iot' ,'t';',7-,ttctt';:a,17-'.f040,-.i,--.::°:7-..:$.:-.:::::.'.2.,:„:17',;4:'::-40*- - ...'"
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<br /> PERMIT#t
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