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03/17/2016 THU 10: 27 FAX Fast water Heater 0002/002 <br /> ERMIT APPLICATI� SL96(40 5 <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 /> fiflRk- p � iP6aPL SwU� gBda3 d0.030/1ZO PERMIT <br /> 7)-09)for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER 5C,v K__I v y lt. Phone/P-moll 4195 p� 6-9- cl2 3 <br /> Address I6 I -1I141 P✓ S City/State/Zip .T7 � W-03 <br /> APPLICANT:_Owner Owner's Agent x Contractor —Contractor's Agent Tenant(must provide a letter of concent from the owner to tlo work In lie space) <br /> CONTRACTOR ,1' 1ST --1` 1-MATE---g.,,4-r State Llc.# Ai f WW H t� �,Cify Bus.Llc. --1)� <br /> Address I I�I IV CR.E .-..g.: `I' �U"1 / (-c. r �l- (U 4tcloI I FOR <br /> I0�c�3(p r/. ty" Al ! 4 "ftil i .4-6 <br /> tENANT-BUSI SS NAME ] CONTACT FOR PERMIT TT Ot-f- WI4 A Y '1)E- <br /> _ Phone/C-mall a. <br /> r , a Plife lA-60' Py <br /> 4G <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK / �. •-• �' <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Bulldin. - Gas) Hleclrlc Other <br /> Building type: a Single Family Duplex Townho Multi-Family _Commercial <br /> Type of project: ":•• Addition Remo D<- Rope r T.Ti. Shin Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on flame beck): <br /> ` ..e.A.tiAb‘r e-I rt,00c CQ___ ____Qp.E. viCt_wi-eir. ki_00-fA--- <br /> -, MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: "New_Addn .AIteratlon,Repair Type of Project: New_Addn _Alteration Re. <br /> Show Number f#)of flitures Show Number(#)of fixtures <br /> NC—air handlin]units Toilet <br /> Forced air systems Bathtub <br /> • - Lavatory(wash b. in) <br /> Water heater _ Shower <br /> Gas fire•la = - Kitchen sin - disposal <br /> Coas range �— r ishwash <br /> Clothes dryer_ •then asher <br /> Range hood — - We"f•' eater • <br /> Exhaust fan SI <br /> (s: vice/bar/mop/etc.) <br /> Heat pump c.ckflow . eventer(inside bldg) <br /> Unit heater final _ <br /> Boller Drinking Founto <br /> Refrigeration _ Floor drain <br /> Woodetove .. Grease trap <br /> Ductln Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM / Other: <br /> • <br /> Number of Heeds Other: <br /> I hereby certify that I have read end examined Ibis application end know the same to be Irate end correct.All provisions of laws end ordinances governing this type or work will be comp <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating oonetrucllon <br /> That I am authorized by lb=owne•.f this properly to perform the work for which application le made and I comply with the State Contractors law 113.27 now and 296.200A WAC. <br /> O t ze ge t :Ignature Date <br /> (Revised 4/2016) <br /> C!-&5 O2 <br />