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,.� PERMIT APPLICATION <br /> BUILDING / MECHANICAL/PLUMBING/SIGN/SPRINKLER I DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> `,�I� <br /> 3200 CEDAR STREET,EVERETT.WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@evei-attwa.gov I www everettwa.govipermits <br /> (Blue or'Black Ink Only Pte e <br /> } ` P'f OjEC `SITE II*IFtJ�.l'tIIIIA`i'Ilit+f t ,4 , <br /> PROJECT SITE ADDRESS: Co C • q2 d ST <br /> LEGAL for new constntction: Short PlatJstrbd;ri4_n PROPERTY TAX#:Lot No. (attach copy of long legal description) <br /> CUNTACT�INFORMATION`. • . . <br /> OWNER NAME: 0 • <br /> + .j► AL. 1 TENANT NAME(if Commercial). <br /> OWNER MAILING ADDRESS. ;rr` T •"1t+. <br /> 4° na 4111C, 1,141 <br /> OWNER PHONE: ' t 1.c <br /> p i "'tL �,,t OWNER EMAIL: <br /> CONTRACTOR NAME: i r\, tv C <br /> CONTRACTOR ADDRESS: 14- ( , .o Ot <br /> STATE ZAP lit v <br /> CONTRACTOR PHONE: C3 <br /> 60 CONTRACTOR EMAIL...,,1 4 '`o to !w n• •co <br /> ___ 6#.Fi-f_-iseNsE 44.EQ:wf9Etat: �jj <br /> 'R� <br /> 'T" fitfil°'CPEYt�f°tt 'BUSINESS U NSE'#(RLQUIRED) ii t. <br /> PRIMARY CONTACT: <br /> 0 OWNER <br /> �CfJNTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: <br /> ^,^C^ CONTACT PHONE: *2S 25' O '3D <br /> CONTACT EMAIL: .r–6.110-•-• Lk " iot?c a' •Co <br /> .. ''AIUII DING*EFIMit(4 ,0144f1fi N' l3V e r;, . <br /> FxisEfn Use of Building: <br /> Contract Price of Work:$ POEM <br /> reposed Use of Bulldin3; <br /> jHeat Source: ❑Gas El ctrlc ❑Other <br /> -# of Unit: <br /> BuildingType; R ata«ftl ❑5FR-A!taahed ❑Duplex DMulti-F3rraiI <br /> of Pia e^tp ❑New ❑Addition C]Remad�l ❑Rena;,.... y .�.-.. ❑Gpmmerclal ❑industrial <br /> Typel_ <br /> . <br /> DESCRIPTION OF WORK: ❑T'7' ❑5{t n ❑SrinkJer ❑Demolition ❑Chan:e of Use <br /> ASSOCIATED BUILDING PERMIT#(if applicable)_ <br /> MECHANICAL PERMIT APPLICATION <br /> aminum <br /> Type of Project: _New ` tf;P .UMBiNrt#'`+!EI� I .t# PLICATION <br /> ,vv„_ Addn Alteration Repair M r,L IP` <br /> No, <br /> of #of Type of Projeet: _New Addn Aiteratlon Repair <br /> 1�'tTturd' - .X�T'ufes #of #of <br /> t-VC–Air Handling UnitsIxtsires twaFsEuss List-of-Fixtures—fixtures <br /> Forced Air Systems Heater <br /> Toilet Bac ,`lowfiprevr n(ef.Inside Bid , <br /> Unit H atom Bathtub <br /> -3 "tvrL%MidIMEMIMIIIIN_IMIIIIII Boiler Urinal <br /> t: u8tpr(Wash Basin) <br /> E1rinirl Fountain <br /> Gas Fireplace Refrigeration Shower <br /> Wood Stove Kitchen Sink 8 Dis trial Floor Drain <br /> Quoting Grease Tre <br /> num Clothes Dryer Hookups Dishwasher Roof Chains <br /> MN Ran.e Hood Ott er: CIo#hes Washer <br /> Water Heater 6Giedfeaf Gas <br /> Other: <br /> 'anill� �.� Sink Servlce/8ar1Mo /etc,j Other; <br /> ' SPRINKLEI'C'TSLIPPRESSION SYSTEM <br /> anChemical or Water <br /> No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed/his eppticattcr and confirm the information contained herein Is true and correct.Work done pursuant to this permit must comply <br /> current federal,state,and local taw. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writin <br /> euilding Official before being authorized under any circumstance,/am the owner,cr I em authorized by the owner cf this properly to perform the work for which e t With <br /> and 1 comply with the State Contractors Law/6.27 RCW and 256.200A WAG. g from(he <br /> pGr�allcr.is rnsde, <br /> City of Everett Official Use Only <br /> '_4i U _ ,1 10. , PES�g �, <br /> Ow,er/AuthorIzed Age Signature C - i <br /> Data ‘.--r--- <br /> (Revised 9/23/2016) <br />