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02/24/2015 TUE 11: 37 FAX Fast Water Heater 1J002/004 <br /> I6 8V <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 /> APPLICATIONS ARE ACCEPTED FROM it AM TO 4 PM <br /> SITE ADbRESS: PROPERTY TAX# PPF <br /> P ,(^_r <br /> LEGAL for new construction: short Piet/subdivision Lot No. (attach copy of long legal description) <br /> OWNER 'r� L T, Com, Phone/E-mail 6'I y - � - Lit \9 <br /> Address lc 1 I litiflr - ivy'1 a Cliy/State/zip <br /> APPLICANT: Owner _Owner's Agent •Contractor _Contractor's Agent `Tenant(must provide a later of egoism Lam the armor to do Irak In the spice) <br /> CONTRACTOR fa V ¼& LAI tic.# 6S-Cy�1Y\l t\alt1igg(.COE Bus.Lic_#5014 ,5 <br /> Bothell,WA 98011 : <br /> Address I Til 5 North Creek'Parkwaout�l,Si EC-106 m s '21 I+,.�A�C.(-hitt.-}e-i �Y \ <br /> TENANTB 3 NESS NANOONACT FORI7 — ', tvi T <br /> P'h ` e i17 <br /> _.waI <br /> 'olTnerEE-mal'�It 1 Vs ` /y\ <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK CM ' <br /> ilExisting Use of Building HEA URCE: <br /> Proposed Use of Building _ - _ Gas Electric Other <br /> Building type, T Single Family ,.,.Duplex,-_„Townhouse vitt-Fern , `Commercial <br /> Type of project: New _Addition _Remodel __ hepair : . Sign Sprinkler Dem_olltfon Change of Use ^ <br /> DESCRIPTION OP WORK(additional space provided on the back): - . <br /> ROAIX/OV� ql ikaslieri QSs t o✓teir Iz2a ,t,(4, 1 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type or Project: New_Adan TAlteration_Repair Type of Project: _New_-_Addn _,_Alteration•,___Repelr <br /> Show Number(#)off/xtures Show Number(lit)of llslures <br /> NC—air handling units Toilet <br /> Forced air systems <br /> . Bathtub <br /> Gas piping _ Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink 8�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 pumpBkflow revr§nter <br /> _ Unit heater Backflow <br /> —Boller — Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodetove Grease tra <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER SUPPRESSION SYSTEM Other: <br /> Number ofof Heads I Other <br /> 1 hereby certify that 1 have teas and evamined this application end know tha same to be true and correct.All provisions of laws and ordlnancoe governing this typo of work wIU be comptiod <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 olhor stela or local low regulating construction <br /> Thal 1 em authodied by the owner of this property to oerform the work for which application Is made and I comply with the State Contractors Law 10.27 RCW and 298.200A WAC. <br /> t,,, ©CR <br /> 1 PI I �� <br /> C 1�I wlAulhoniea Awn.ww,,,,.0 Date <br /> (Revised 6/2012) <br /> r <br />