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01/05/2016 TUE 13: 46 FAX Fast Water Heater X004/004 <br /> 'PERMIT APPLICATI 1-11 t1-9 1 <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 /> SITE -DDRES" PROPERTY Ax tt P • 1 # <br /> ki <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of lonalegal description) <br /> OWNER s kg/ '.. I, Phone/E-mall l.,,,5 6 3 Li -3 <br /> Address 4C10./- , 6i ar ST-- Sw City/State/Zip ,evgeE-11t LAA 'ego 3 <br /> APPLICANT; Owner Owner's Agent 'Contractor Contractor's Agent Tenant oust proviso a tetter al convent from the owner to do work In the space) <br /> CONTRACTORN� .I 'State Ric.# ASS wW H`"t'-4 TFC---city Bus. Llc.#5Z).-(6 <br /> Address N �AKwc✓ t <br /> �r ii"C- lP .1 SD( ( 1- -I /� <br /> A2 X11 M Phone/Efnall P5103.,, ,/ e 1M 17 i5 a 'f' Ly I +e <br /> TENANT BUSINESS NA ' CONTACT FOR PERMIT Rr k.+C.v. b <br /> KA-NI K LE <br /> Phone/E-mall . "'Y , : [o. 41= .(.... Alt is .it Ali '•(r <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ' ' ( lCt °i' <br /> Existing Use of Building t`--Q-S EAT SOURCE: <br /> Proposed Use o uildinP.- ) Electric Other <br /> Building type: Sin mi Duplex Townhouse Multi-Family Commercial <br /> Type of project: New Addition Remode T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the beck): <br /> *Ptiv1.6 41r.tp a LIZ_ ____IirdS wcui-eir k.10044--- <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New_Addn Alteration Repair Type of Pro : t: New .Addn _Alteration_Repair <br /> Show Number of or fixtures <br /> _ Show Millibar(#)Of fixtures <br /> A/C-air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash bas'• <br /> 1 Water heater Shower <br /> Gas fireplace itchen sink r disposal I <br /> Gas range ___ D •hwas - <br /> Clothes dryer Clo .e_ asher <br /> Range hood _ __ Wa •. -eater <br /> • <br /> Exhaust fan S k(ser, ea/bar/mop/etc.) <br /> Heat pump =ackflow <br /> Unit heater p'= enter(inside bldg) <br /> -- - _ _ Urinal <br /> Boiler - _ Drinking.Foun lei <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting_ �� Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> ___J Number of Heads -I Other: <br /> I hereby certify that I have read and examined this application end Know the same to be true and corrsot.All provisions of'awe and ordinahces governing this type of Work will be comp <br /> with whether speckled herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other elate or local law regulating construction <br /> Thal I am authorized by the owner of this properly to perform the Work for which application Is made end I comply with the State Contrectore Law 18.27 RCW end 298.200A WAC. <br /> Owner/Authorized Ag nt S n ure <br /> Dat® <br /> (Rev/sed 4/2015) <br />