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02/18/2015 14:41 FAX i 012 <br /> • • <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL./PLUMBING/SIGN/SPRINKLERJDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS; PROPERTY TAX 71 PERMIT Si <br /> 823 Linden, Everett WA 98201 <br /> LEGAL for new construction. Short Plat/subdivision_ Lot No. (attach copy of long legal description) <br /> OWNER Everett Housing Authority Phone/E-mail Ron Neff, 425.508.6390 ronn©evha,org <br /> Address 3807 Colby Ave City/State/Zip Everett, WA 98201 <br /> APPLICANT; Owner _Owners Agent Contractor Contractor's Agent Tenant(must pnwid.•Wt.-crf consent tom tii a.n. b do was to thi apse.) <br /> CONTRACTOR Mibre Plumbing ate Lc_# MIBREP*905PN City Bus. Lic.# 050890 <br /> °Address 34 Chick Rd Camaro Island WA 98282 Phone/Email 360.387.31D4 mlbreplumbingfj wavecable.oOin <br /> 11=NANT BUSINgSS NAME CONTAZT FOR PERMIT <br /> Phone/ -mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 5,266,. 7 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric other <br /> Building typo: Single Family Duplex_Townhouse X Multi-Family Commercial <br /> Type of project: New Addition x Remodel _X,Repair T.I. Sign Sprinkler bomoikion Change of Use <br /> DESCRIPTION OF WORK(additiorte/space provided on the back): <br /> Replacement of Existing Fixtures, Selective Water Line& Drain Replacement <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: Now_Addn _Attsrstlon Repair Type of Project: _New_Addn X Alteration XRspeir <br /> Show Number(#)of fixtured Show Number(1 of f/x cores <br /> A/C—air handling units 1 Toilet <br /> Forced air systems Bathtub <br /> Gas plpinp _ 1 Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace - 1 Kitchen sink dr disposal <br /> Gas range Dishwasher <br /> Clothes dryer 1 Clothes washer <br /> Rage hood 1 Water heater <br /> Exhaust fan Sink(servlcefbar/mop/etc) <br /> Heat pump Backfin Lpreverrter <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove _ Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> _ SPRINKLER/SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I h.r.by cKtlty ih■t I h■vt reed end examined this apiIetion end Sane/Tie tame to be rue end correct.Al pruvhinna of taws and ordinan cos gOvtrn.tg type or work yr be comp <br /> w*i whether epi herekt or not.The granting of a permit does not presume to give authority to vlofate or cancel the provision of any other state 0(tical law regulating eonttrucboii <br /> That I em authorized by the owner of this property to perform the work for MO appiicatkln ie made end I comply with the Stats Contrectors Lew 18.27 ROW and 288.200A WAG. <br /> Owner/Authorized Agent Signature Date (Revised 9/2014) <br />