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PERMIT APPLICATION
<br /> BUILDING I MECHANICAL! PLUMBING I SIGN I SPRINKLER 1 DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 411g
<br /> 3200 CEDAR STREET,EVERETT WA 98201
<br /> iPi 423-267,88i- r AX 425-2574857 i(E)everetteps@everehwa,,lov 1 ,,,,.,,,w,ev,?rettem oc,vq.--.2,,,—,1s
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<br /> (Slue or Black Ink Only Please) PROJECT SITE INAINNINATION
<br /> PROJECT SITE ADDRESS: ,C..x> - 1 54- S 4- ,5''e...- PROPERTY TAX 4-.
<br /> LEGAL i,; „ii• onstrurnon uux.,ntatisoottv,von tot No (attach oopy o'iong*0 deschotgom
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<br /> CONTACT INFORMATION
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<br /> ;OWNER NAME t/Y1 oxic Z (c-to2.)) TENANT NAME(0 Commercial):
<br /> OWNER MAILING ADDRESS: STREF1' (Lo I ''' '‘b#-- 54".".5,'It_ i.517c
<br /> , , 12 vcre.-4-4- .,,: Cot)
<br /> OWNER PHONE: 20 (5, 3 414, _ cicice 0 OWNER EMAIL: e•-***---------
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<br /> CONTRACTOR NAMEVNBATHWORKS. LLC
<br /> CONTRACTOR ADDRESS: 18821rR14,TH AVE NE
<br /> ARLINGTON &ATE WA z 98223
<br /> —
<br /> CONTRACTOR PHONE: 425413-9545 ,11041,1:,1f,':':',, NWBATHWORKS@GMAIL,COM
<br /> CONTRACTOR LICENSE#4PEOUffIrpti: NWRATBL855PA [CITY OF EVERETT BUSINESS LICENSE e(REOLtiRED): 57184
<br /> PRIMARY CONTACT: DOWNER 0 CONTRACTOR 0 OTHER{Please Speolt)c
<br /> !CONTACT NAME: CONTACT PHONE: L. 70 G 3 c 62 _
<br /> CONTACT EMAIL:
<br /> 1111.4 '
<br /> ....--
<br /> 4,7I: ' 'LENNOERMIT APIRJCATION ,
<br /> ExistinP Use 01134141 : Contract Price of Work: $ $1100-00 .._,..
<br /> Propose°Use of Pulleing if;',.N.t.,iti ,,,": ., rti ! tje,',
<br /> i:`:fittit7..,7;:' ..Wlti.°:$ til';iii4% i';.fli;S.2;r :'. i:i.illit:6-;':4 '" 04 Iriiiitift4'.!
<br /> Type of Project: ONew DAddihon ORemodel ORapstr E3T.I. OSign OSprinkter ODemothion Change of Use
<br /> DESCRIPTION OF WORK:
<br /> fke..,171,....... (4f,J.9.1. v,,,_ 4.--,142 ,....,,, 7,--
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<br /> *app44"If)
<br /> licab e . 1r1 lirnt ill CA014,KA. • -t 1,--C- -rte
<br /> ASSOCIATED BUILDING PERMIT#(r, imlitR,_
<br /> MECHANICAL PERMIT APPM0ATIMIN , ,, , ,,,:,,;'„,! .,,::,„. ),:7S.,„,,,,,,‘i::•3,,,`, .'-',k•,,_,,;:!'„•;,:!;• „,
<br /> type of Project: _New Arlen Alteration _Repair 'brttiiii*OfrOject; tfitiff,t '„,.i.:,..kftf4t ...—rAiiikaltiOr Repair
<br /> #of 0 of *4# . *of .
<br /> List of Fixturos List of Fixtures Li
<br /> Frxfures st of Fixtures LiSt 414':f'°'::.•'
<br /> Fixtures I ,,'',': •: Fixtures i _
<br /> ~::Air : -.,..1',, 3 niti Heat Pump- , •ii 'i':' Backflow Preverter OnsIde Blorj!
<br /> ....,, • ,. •
<br /> Fp,cit;.,1 Air S stems Unit Heater Bathtub Unnai
<br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain
<br /> Water heater RefrigeratlonShower Floor Drain
<br /> Gas FirepIace Wood Stova ' Kitchen Sink&Disposal ,Grease Trap
<br /> Gas Rangs Ducting Dishwasher Roof Drains
<br /> c
<br /> i,-- ,_a-loth,Dyer Hodadt Other Clothes Washer Medical Gas
<br /> range Hood
<br /> Exhaust Fan
<br /> , i. t i i';-;;7Other.
<br /> Exhaust
<br /> Sink I Seruce/BariMoptetc) Other
<br /> 1 :.
<br /> SPRINKLER/SUPPRIMSION SYSTEM '-',,
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<br /> Chemical or Water I No of Heads '
<br /> A/,',:-/q1()VIt.,EDGMEArr:/hew ieef**,,,/t/Tregt#4,44 :k,,:::'1,,,,,i,,/,;;;:. ',:,:?„,:•:7':';''::% q:' -'::-:7:;,,::::;:,;','*i 1',::::;';'•;i:', , ,,,,f4.1::, ...2 ,,t';:- it••i-'•1:>-1,-;::
<br /> (xarrier raises,'este end fosof few tIX;,::, -.let*;: ,,.i-::• ,1k;elk;i, ,-'1,_ ,,,„,, ,:::::::,' . .:;::.' ";-'=:7 ,':.1,'''' ., , :.,,',' , :i;•,.' fi f 4 be iiiiifftfriZed,ki totif kg inwn the
<br /> &Wiling Orb*.before ben auerenzed ender ear;,..-I,,,.[;..LZf4fa4ftie.MIIIM-WMaaiII;s!'R',Ir.r",:!:,7,7777.7,,,: f. "';', '-';',-,,:.r•'''',,;',,Ir'I, r , the week for*-ht adgeowitor:w nude
<br /> mu,ownott,Wrift the State ContractI' IT ritttfr/mr,
<br /> a„,24,s.i.ail
<br /> ';su:-.7!7:=•,;:',: ..:,...'-,-*,4,7I'veU•
<br /> PERIM I buiy.. 6,1 Li
<br /> ,,,,, (Poieseo ,,•2.312818)
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