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07/23/2015 THU 9: 49 FAX Fast Water Heater iiLl004/005 <br /> PERMIT APPLICATION I Cg73 <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Si, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: 44\ 0 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long regal descrlpllon) <br /> OWNER Nu eti :24 - Phone/E-mail .96----7:91. --3:22.5- <br /> �-� �, <br /> Address 19 c2 i Clly/State/Z1p4e/' ' I 1 in'7 <br /> APPLICANT;—Owner _Owner's Agent K Contractor Contractors Agent _Tenant(mull provide a lekor of consent from tee timer to do work In the■peso) <br /> -� <br /> CONTRACTOR f-a5 N&c � -` L <br /> &I Llc.#9\5-c\ 1 W 1t 1-sgC.COE Bus,LIC,#SOP'S 3 <br /> Address 111 5 North Creek�parrcway Sout�1,Si EC-106 Bothell, WA 98011 _meii,s 1.14 WI ,iV\eq- -it(inv-\ <br /> TENANT BUSINESS NAME ..-17(57MT FOR PERMIT �' ` �"�� �- <br /> (120-�1n' otz 4 _ vt v�Q1 —y - <br /> I -- - Phone/E-mai' s Li . •r A a ` �i•C�L��ti ��-�� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF ORK i-// a _ <br /> Existing Use of Building roes; ` til HEAT SOURCE: <br /> Proposed Use of Bu/tiding______ Gas_ Electric�ther <br /> Building type: l/Single Family Duplex_Townhouse Multi-Family,_Commercial <br /> Type of project: New _Addition Remodel Repair T.I. Sign Sprinkler_Demolition Change of Use <br /> DESCRIPTION OF WORK(additional apace provided on the back) <br /> f441VCL 1.0 rep/AC.0_ ele-di-tic Vq i"IQQ /1'I 't S2i ✓aCldldn. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn , Alteration_Repair type of Project: _New T Addn _Alteration Repair <br /> Show Number(N)of fixtures _ Show Number(I)of fixtures <br /> A/C-air handling units Toilet <br /> Forced air system s Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater 'shower <br /> Gas fireplace J _ Kitchen sink&disposal <br /> Gas range Dishwasher <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 _ Drinking Fountain[ <br /> Refrigeration 1 T . Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> I SPRINKLER/ SUPPRESSION SYSTEM Other, <br /> i Number of Heads Other: <br /> _ <br /> I hereby certify that I have reed and examined This application and know the earns to be true end correct.All provisions of laws and ordinancoa governing this type of work MI be compiled <br /> with whether epeelfed heroin or not.The granting al a permit does not presume to give authority to violets yr cancel the provision of any other Melo or local law reeuleting construction <br /> That I em authorized by t-he wino(of this property to aerform the work for which application le meds and I comply wartthe State contractors law 10.27 RCW end 206,200A WAC, <br /> ' '5 <br /> LA '71/ta 5415' <br /> -cet /AulhortYaa Aim,.ut.y....0 <br /> Data <br /> (Revised 13/2012) <br />