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PERMIT APPLICATION
<br /> 0011111W_
<br /> BUILDING I MECHANICAL! PLUMBING /SIGN I SPRINKLER I DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET EVERETT,WA 98201
<br /> (P)42S-257481n 1 FAX 428457-8857 -(F)everetteps@averettwa,gov I wwweverettwa,gov/permits
<br /> (Blue or Week 104(41/4114.4***1 ..._ PROJECT SITE INFORMATION
<br /> PROJECT SITE ADDRESS: SC/(q S. 31-ci jee.-4.1,,,e—
<br /> LEGAL for new construchon Short Pietieutxevsion
<br /> Lot No 1PRO PERIN'TAX#:
<br /> (attach copy of on legai desolation)
<br /> "OW i
<br /> CONTACT INFORMATION
<br /> OWNER NAME: c_ti\kr Lc s i 1 c)-14:-/"YitAiil TENANT NAME(if Commercial),
<br /> OWNER(MAILING ADDRESS: 5,,,,F..e-T Sof cf" c- ';'(ii. Pvt.-
<br /> 1
<br /> I
<br /> 'OWNER PHOHE' - - -I.)(-, OWNER EMAIL:
<br /> CONTRACTOR NAME NWEAT H WOR KS, LLC
<br /> CONTRACT o-, ia,iv.:i:',,•'.- 18824T4TH AVE NE
<br /> . ceyy ARLINGTON
<br /> sf#TE WA zga 98223
<br /> CONTRAO•S.t!:;,...r'*''‘'. .:‘, :,:. 425-418-9545 :.:4a"'-,;:::,.::: -,,: iNWBATHWOR KS@G NIAIL.COM
<br /> CONTRACTi.,'••' '''..4, II. '4..r: NWBATBLEI55PA CITY OF EVERETT BUSINESS LICENSE(OREOUIREo): 57184
<br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: ti,
<br /> CONTACT EMAIL:
<br /> KL(11
<br /> ,
<br /> BUILDING PERMIT APPLICATION
<br /> . . .
<br /> Contract Price of Work, $ $1100 00
<br /> R,ohoseo Use of Swirling
<br /> ''':.l'' 4,04 al e'2,,, 0Elemno fla:i1:,":',:ZeOi ••,,,,W):144,!!'",:
<br /> #iliicifn9 T . giti,f44., 081FR4tokhatil clauplex omotiFamily4ofthlits 1:141tiiieltAiii, mtV::::: ''
<br /> Type of Project ONew CAdditon DRemodel 0Repagr CT I 0Sign CSorinkler Cbernolthon 0Change of Use
<br /> DESCRIPTION OF W0fRft.:
<br /> :•-,..c,,5. i-74‘....77--
<br /> ASSOCIATED BUILDING PERMIT#,,if appicaole,,
<br /> MECHANICAL PERMIT APPLICATION . ., ,''1114":;:: :-,....„, ,.., „, ....,i
<br /> :::::Project:List New jaw:it:in Alteration Roper
<br /> j Of #Of I
<br /> Fixtures , .
<br /> i Of
<br /> List of Fixtures
<br /> Pixtietts Wood Stove ,, :#144###*. t4mor ',;44,10100 --Affalatiah Reaair
<br /> List of Fixtures
<br /> #of
<br /> Fixtures List
<br /> ir:':::::::: ',1-.:117ifT''',.-•oili#1'
<br /> Forced Air Systems
<br /> ( Water tikit*
<br /> ,,..,
<br /> Hes P...,:rn:L1
<br /> Refrigeration Shower
<br /> Urot Heater Bathtub Urinal
<br /> Boiler
<br /> To'itait
<br /> ;
<br /> Lavatory(Wash Resift)
<br /> Rackflow Preventer(Inside Bldg)
<br /> Drinking Fountain
<br /> Floor Drain
<br /> Gas Fp
<br /> Kitchen Sink&Ds..:.I Grease Ira
<br /> Gas kanfr Ducting *
<br /> Dishwasher Roof' Drains
<br /> Clothes Dryer- .0, ,,.!, Other- 'Clothes Washer Modica/Gas
<br /> Range Hood .' ' ::•:-': r•',.,...•:' Other:
<br /> , --
<br /> Exnaust Fan Smk(Service/Bar/Mo./etc) Other
<br /> 1.,
<br /> SPRINKLER i SUPPRESSION SYSTEM
<br /> .._. \
<br /> , _ 'Cheryl-Jost or Water _i No of Heads
<br /> #006010YLE.Onak,r7 thAtv*afaietaatiliaseAtikaNsaaad cantina ass tiaaraitica coatiaitatittaitaite-is kw*end correct iimak*off pumiiiiiirio 00:',1,;'''' stattitiinp041
<br /> waimt Aecter44 Mate end tome lam The etionleg Ma patetion*atstarims waned aoreana,ark00400OM theeelreet&Mt**mot eel*autheOiiihrf writiV fleet PPiti
<br /> ', ,;„:y,..:,,,,, ..: atettotatetene ettittkritettur to tk or irtytectuestence-Ion itte owner or/ere ataterlite4MMIte eormr-aterfsistMeelvm.theWOM ',.:„It',..,4,,.,",Artatheetkette-reilek
<br /> - ,Itft:-':".- WAS MoSfate Contiaatia taw lii 21,fiCW atict 29f$,2004 INAC,
<br /> ;*rk.
<br /> PERMIT#
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