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08/26/2013 11:12 42558286� TH= UA��lIKA COIdPAI�lV PAGE 02/t75 <br />� <br />PERMIT l�PPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLERlDEMOLITi�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, VVA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM g-a 6-� � <br />EVERETT �ROPERTYTAXp <br />18th Ave W. #1205 <br />for new construcnan Shart <br />E� Malgorzata Kowz <br />8407 18th Ave W, #1205 <br />I�F7 i i I Cb7 � l R�1�7I'iL.T:�J <br />3614 73rd Dr <br />BUILDING PERMIT APPLICATION <br />E�sting Use O( E3uilding <br /># <br />No._ (au. ch copy oi long Ir,gal Cescripnon) <br />425-51 <br />i��z�p Eb'ERETT <br />11�'� �, <br />u <br />WA 98204 <br />KPC916LQ <br />t25)335-3515/info@danikaco. <br />Malgorzata Kowalczyk <br />PRICE OP WORK �500 00 <br />HEAT SOURCE� <br />Proposed U5e o1 �uilding � Gas____ Eieclnc__ Other_ <br />8wlding type� � Single FamJy _ Duplex _Townhouse _ MWti�Family _ Commertial <br />Type of projccl: _ New _ Adddion _ Remodel _ Repair x T.I. _ Sign _Sprinkler _Demolition�Change ol Use <br />DeSCfiption o( W ork /addihonal spaco provided on fho back) � <br />you started working without a permit7 _�YES _NO <br />MECHQNICAL PERMIT APPLICATION <br />Typn of Projoct: _. New _Addn _Altnretion _Rnpair <br />Spow Num6ei (N) o! lixtures <br />NC — �ir han�lllnn iinilc <br />CzhAusl tan <br />Heat pump <br />Unit heater <br />C3oilor <br />HeGigeration <br />Woodslove <br />DucUny <br />Other <br />/ SUPPRESSION <br />Number of Heads <br />PLUMBING PERMIT APPLiCAT10N <br />of Pro�oc�: _New _AAdn _Alleralion �Repiir <br />Shaw NumGor (Nl of lixNres <br />W�Ic! hO�lef <br />Sink (servicelbar/ <br />y,ar,kllov: prevr,nt� <br />Unnal <br />Dnnkiny foun4un <br />Rrwr drain <br />G�ease Irnp <br />Roof dr:uns <br />Medical Gas <br />O!her <br />Othcr <br />I her�Uy certily thal I havr, rea0 ;mtl e•amineU Ihis appllcation and kimw �he same lu be Irue anU correct All p�ovisions of laws anC ordm:mr.es govCmmq <br />uus type ol wark vnu �c comp6cU vnlh vficiher specifictl hcr�in or nol. ihe grant�ng of a pmmd Aoes not presume to 9ive aulhonry lo v�olate or wncel <br />Il�e pruvision ot any othor state or local law regu:aiing tnnsirucbon cr Il�e pedo�m8nce ot consiruclion. Thal I am nuVlonzed by �1�r, ovmer ol �his propeny <br />in ped�rm ihe wnrY for which apphralion i; maAe and I comply vn' i the 5�: u Conirar.lon Lavi i8'1.7 RCVJ anJ 7.9G.200 WAC <br />� � Z� �� <br />Ow Aulhar¢otlApanlSi�natura p:ilr (Rovir.en7/:?OriJ <br />