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31425-252-1666 c.m.heating 11:30:42 11-27-2015 6/8 <br /> CITY OF W ft ETT PERMIT SERVICES , `�~• �•~ .• ^• <br /> 3200 Cedar St., Everett, WA 95201 42- -257-8510 FAX 425-257-8857 w.r;/.everettwa org <br /> DDRE55; 1 l G 1 1 Ate e r 5e 7ory TAX# r PEghJI T f 1./- Yj <br /> for per .i c1a!ru:ticfl. S,`:art Pla',s.1tdiiis?cn Lot Ho. (a:te:h copy of long legal des:rip§ae) (J t _/ <br /> ' --'1DI) Y L- ct:ore.E•ma!I Fr) 912) ,D,-.39 I <br /> x111 - , :i!y'Sts!&Z p seVeikar L ij <br /> ANT:___ <br /> O':.r er —C':Jne'3 Agent V Contra:tor Cortra:I1r'3 Agent _•Tenant(-u3':r:.`.»'eV!:t:;rs•rl'r::-a 3+-3, f:4-:4 r re 1;121 <br /> 4CTOR 1.�1 l�eaa-ir Inc, �}(5tateLic.# (4E} c-itiBu <br /> SRI+ Qv ,)ss. Li. #61tobg8 <br /> i `Sf`6ro k cu Gwe,if \iv fJ r► gg2/31 Phane/Email L 2S9 LYLULO1 <br /> NAME CONTACT FOR PERMIT <br /> pth 4�,�,125 25R le010�o• <br /> inane/E•ma'idZvb160 G1�1t.e4-hrkq.com <br /> ZING PERMIT APPLICATION CONTRACT PRICE OFWORK qb T7_GI <br /> Jac of Building HEAT SdURCE: <br /> I Use of Bui!dln,g Gas R Ele:trio Other__ <br /> ype: S!ngle Famif/ _Duplex Townhouse —Pliiti-Fa-ni!y _Commeroiai <br /> ro ect New Addition Remodel P.easf T.I Si•n Sprinkler Demolition Chance of Use <br /> PTIOi j OF WORK(silt:maispa.e pro.vded Gil tie beck): <br /> -rina-ea duds Leto- <br /> ECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> oject: New_Addn ,WAlteration Repair Type of Project: Hew_.Addn _ Alteration_Repair <br /> Show?lumber(#)of fixtures <br /> _ Show Plumber(ii)of fixtures. <br /> NCI —air handling units I Toilet <br /> I Forced air systems Bathtub <br /> I Gas piping I Lavatory(:/ash basin) <br /> I Water heater I Shower <br /> I Gas fireplace i Kitchen sink&disposal <br /> I Gas range Dishwasher <br /> • Clothes dryerClothes washer <br /> Ran a hood Water heater <br /> Exhaust fan Sink(service/bar/map/etc.) <br /> 1 Heat pump Backlfow preventer <br /> I Unit heater Urinal <br /> I Boiler Drinking Fountain <br /> I Refrigeration Floor drain <br /> I Woodstove Grease trap <br /> f DuctingRoof drains <br /> Other Medical Gas <br /> RINKLER 1 SUPPRESSION SYSTEM Other: <br /> Number of Heads Other. <br /> i that I have read and e,tamined this application and know the same to be true and correct.M provis`ons of lawn and ordinances goleming Irdi type ci work MI be comp <br /> specified herein or not.The granting of a permit does not presume is giro author1y to violate or cancel the provision of any other state or local lav regulating construction <br /> iorfxed by the owner of this property to perform the work for which apFBcarion Is made and I comply with the State Contractors La.v 1327 RZw and 2355 2t30A WAC <br /> ionizedblaba <br /> Agent gna tura �� 1 Date 1 (Revised 92014) <br />