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12/09/2015 WED 8: 5 8 FAX FaS E Water Heater <br /> ... ....... ........... .......... <br /> 4'ERMIT APPLICATIA q�l <br /> BUILDING/!MECHANICAL/PLUMBING/SIGN/SPRINKLE RID EMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 93201 425257-8810 FAX 425-257-8857 www.everettwa,org <br /> $IT tDDR FF88- 'ROP�02T �,g P�71!Tt <br /> L <br /> l/V <br /> LEGAL for newconstruction, Short Plat/aubdIvIslon Lot No. (attach copy of long legal description) <br /> OWNER ptiN MLI H4VS Phoneirn-mull D'5�0 )q/ / <br /> Addr000 10 '1 LIIJD X CIty/stute/zip aLf=E-1T-r , iAjh- �gaC)3 <br /> APPLICANT:—Owner —Owner's Agent \4 Contractor —Con t'ractor's Agent _Tone rit(must providc t,utter of consent from the owner to do work in the space) <br /> CONTRACTOR f -C-9- V�f--A-rj��g_ Stato LIc. E(City 13.s.Lic. <br /> JAddress W'A Phone/Enlall <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> KATq <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> F=xls(lngVGoofBulIdlng­. HEAT SOURCE: <br /> Proposed Use of Build'InQ Gas Electric 2K- Other <br /> Hulldlng typo:(KSingle Fe' Uuplex Townhouse Multi-Family Commercial <br /> Typulof ro act: Now Addition Remodel k Re air T.1 S12n Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK OddiflOnRl scace Pml/lded on the back) <br /> P'0A0 Y-4p�a C-C- <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of act! —Now—Addri _Alteration_Repair Type of Project: _Now_Adds --_Alteration_Repair <br /> Show Number is of fixtures Show Number(#)of fixtures <br /> A/C-air handlinq units z Toilet <br /> Forced airs sterns Bathtub <br /> NIL Gas piping <br /> ---2�— Lavato!y(wash basin <br /> Water heater ) <br /> Shower <br /> Gas fire lace Z Kitchen sink&disposal <br /> q a�$Ta r'�CE)7 Dishwasher <br /> CI ,es er Clothes washer <br /> Ran cad Water heater <br /> E XP6 U S N'Q n Sink(servlce/barlrnopLetc. <br /> 'Keat pump Backflow proventer(,Inside b1dj) <br /> Unit heater Urinal <br /> BoilerDrinking Fountain <br /> Refrigeration Floor drain <br /> woodstove Grease trap <br /> Ductlnp Roof drains <br /> Other Medical Gas <br /> -'kPRINKLER / SUPPRESSION SYS—FEMI T�7 <br /> Other: <br /> Number of Heads Other:Other: <br /> I hereby certify that lhave read and examined this application and know the same Labe true and correct.All orovisione at laws and ordinances gave rhing this type of work will be corn <br /> wl(h whether ape c1l"fad herein or net.The gran ling of a permit does not presume to give authority to VIGILI(e or cancel the prov I slon or any other state or locaI few regulallng construction <br /> That I sm authorized by the owner ofthlB property to perform ins worK for which application 13 ML�d a and I comply with the Stat to Contra a tors Law 18,27 RCW anti 296-260A VVAC' <br /> Owner/Authorized Agent aignatty. Date (Povhvad 41'2015) <br />