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05/01/2015 FRI 10: 17 FAX Fast water Heater 0002/pOz <br /> C:72 .-..1 LICI7 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> �/ 'j -�'(ry APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM/ /� 1^A <br /> S1TE ADDRESS:Or "I ' t ` 1 Afe` &, - OIbR�"IAX,00c! ©0/ I 1.- -ERIvII 00.- <br /> 001.1 <br /> LEGAL for new construction: Snort PlaUaubdIvIslon Lot No. (attach copy of long legal description) <br /> t <br /> OWNER tt,1 _14_11 )/]�n 4- Phone/"-moll �I: 3I`�r- 2 7(4 / <br /> Address 611-11 0 1 I U�/Qr - 1 City/State/Zip rre4 Cro'i• 61122„,t--2 <br /> APPLICANT: Owner Owner's Agent Contractor Contractor's Agent Tenant(mull provlre a letter of coneonl from leo owner to do work In Iha speed <br /> CONTRACTOR '.A L&I L ( �Clc,# t1 \N\\�t �gB COE Bus. Lie #Cj1:3--,-� <br /> S <br /> Address I•11715 North Lreek.Parkway South, S1 FC-105 Bothell,.WA 98011 ;mall <br /> Fac( �I ,ct-2r�tie�t,rrcWvA <br /> 7,1=1BUSINE95 NAME- ONTACT FOR PERMIT `S `` (/� <br /> • L)2c - iU�v6 Veal' <br /> Phony/E-mail' . br ' '1 • e Am.& .LIZL <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF ORK <br /> ir <br /> Existing Use of Building ,,A•l17M Ot F _ - AT SOURCE: <br /> Proposed Use of Building ....040 fir Electric Other <br /> Building type: Single Family Duplex Townhouse Mulll-Faml>i Commercial <br /> Type of Project: New . Addition Remodel Repair_ . • S�ji n Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back). ^A ' n M r <br /> v Q. qt Aa-Act, oovp <br /> vV r./ 0 u(A4) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: Now_Addn Alteration Repair Typo of Project; New Addn Alteration Repair <br /> snow Number(ti)of flxturea Show Nambvr Of)of fixtures <br /> I- A/C--air handling units Toilet <br /> Forced air systems _ Bathtub <br /> Gas piping _ Lavatory(wash basin) <br /> 1 Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dlehwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler <br /> Drinking Fountain <br /> Refrieretlon Floor drain <br /> Woodstove Grease trap <br /> Idj Ducting Root drains <br /> Other Medical Gee <br /> SPRINKLER / SUPPRESSION SYSTEM Other <br /> i i <br /> -- i Number of Heads Other: <br /> I hereby cattily that I have reed and exarnined this epplicellon end know the"solo to be true and correct.Alt provisions of laws and ordinances governing thio typo of work will be compiled <br /> with whether epeeter]herein or not.The[fronting of a permit doae not presume to give authority to vlvlata yr cancel trio provl"ion of any other slain or local law regulating conelrucdon <br /> Thal I om eutho2edoby,,tt�he owner� of this property to oortorm the work for which application ie made and I comply with the Slob]Contractors Lew 10.27 r2CW end 296.20DA WAG. <br /> -t"" <br /> 41 V <br /> carlAuthori eo wynuc vre,�,,.0 Dale <br /> (Revised 6/2072) <br /> r <br />