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04/11/2016 MON 10: 47 FAX FAbt Wafter HOAter 2002/002 <br /> PERMIT APPLICAT& <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 . 425-2578810 FAX 425257.-RR57 www,everettwa.org <br /> SITE ADDRESS: S� � � ITIMM00oc) <br /> P T* <br /> oq-OM <br /> LEGAL for now construction: Short Plat/subdivision "ter Lot No. (attach copy of long legal description) <br /> pWNERre, Phone/E-mail ( y <br /> Address C CltylState/Zip �}- $z <br /> APPLICANT:—owner —Owner's Agent y Contractor _Contractors Agent —Tenant imumt provide a letter oroonsent rrom{ha—nor to do vronr rn the*pace) <br /> CONTRACTOR State Llc.# WW T .City Bus.Llc. <br /> "C <br /> Address A Ie]. l Nl-r-,K P-,vS ( ( � PhonelEm81I (�i�3( p'Yi r�(.S -h <br /> TENANT MUSINH53 NAME CONTACT FOR PERMIT <br /> Phone/E-mall V b <br /> BUILDING PERMIT APPLICATION CONTRACT PRICrz OF WORK <br /> Existing Use of building f - H5AT SOURC <br /> Proposed Use of Buildingpas Electric Other <br /> Building type: _SinglB Family _Duplex_TownhMmk Multi-Famll _ Commercial <br /> T mo e of ro'ect: New Addition ReI Re air I. Sin $ rinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(eadinona/space provldedc ck): <br /> f4AAA,6 eX Ck' <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of P pct; -_New`Adds „�1ltoratlon_Repair Type of Projects _Now`Addn --Alteration_Repair <br /> Show Number of fixtures Show Number ffl of fixtures <br /> A/C air handling unitB Tollet <br /> Forced airs stems Bathtub <br /> Gas plelng Lavatory wash basin <br /> Water heater Shower <br /> Gas fire lac® Kitchen sink&disposal <br /> 04 <br /> s range Dishwasher <br /> Clo esdryer' Clothes washer <br /> Ran ood Water heater <br /> Ex us n- Sink sarvlcelbar/mo /etc. <br /> Unit <br /> ®t um heater Backflow reventer inside bldg) <br /> Urinal <br /> Boiler Drinkin2 Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ductln Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SY EM Other. <br /> Number of Heads ' 11 H Other <br /> 1Other: <br /> I hereby certify that I neve read an0 examined this application and know the same to be true and cbr eL All provisions of taws and ordlnancas AOVerhlhg this type ofwork wa W comp <br /> with whethJA er speoifled herein or not.The graniing of a permit dose not presume to give sulhonly to violate arcancet tPre provlelon of any other stotle or local law regulating construction <br /> hat I am authorized y the ow r of his property{o perform the work Por wnlCri application Is made and r comply with the Stals Oontrectorg law 16.27 ROW and 296.200A WAC. <br /> 4 <br /> n r/ thartxad ant Signature Date (Revlsod d12075) <br />