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425-252-1666 c.m.heating 13:22:33 12-04-2015 516 <br /> • • <br /> 1 s,K\in/l 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 vNr;/.everett�ia.org <br /> 9DDRESS; /t '� <br /> JPi?0PERTYTAX# P R1611T 6)1 <br /> L for new construction: Short Platrsabdivision Lot tlo. (atta,h copy of long legal description) <br /> :R PhonelE-mail <br /> Cltylstalelzipkj <br /> CANT:_Ov,ner _Oemer'sAgentContractor _Conlr3clar'sAgsnt _Tenant( ustcrir!d33!engrcr::roe-rr,_r•.9zsrer!,-djhclIrir,u'sr,a�; <br /> 3ACTOR a i; L Stats Lic.# � 'v'1���" CCity Bus. Lic.Ir 81W d <br /> 1 Y'o 6J e rg W A q S?,ol Phone/Email 426- 2159 `vLob lo <br /> IT BUSINESS NAME CONTACT;FOR PERMIT <br /> Pftane,'E-mail 11 <br /> DING PERMIT APPLICATION CONTRACT P Ri CE OF:WORK <br /> Use of Building HEAT SOURCE: <br /> ad Use of Building Gas IV Electric Other <br /> type: _Singh Family _Duplex Townhouse _Multi-Family __-_Commercial <br /> project: New Addition Remodel Repair T.I. Sin Sprinkler Demolition Change of Use <br /> ZIPTION OF WORK(ajditianal space provided on free back): <br /> P4U <br /> 11ECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> sroject: _Naw_Adds ____Alteration_..,Rapair Type of Project: _Now_Addn —Alteration___Repair <br /> Show Number(#)offixtures 5howNumber(#)offlxfures <br /> A/C—air handling units I Toilet <br /> Forced air systems I Bathtub <br /> Gas piping I Lavatory wash basin) <br /> Water heater I Shower <br /> Gas fireplace Kitchen sink&disposal <br /> I Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood I Water heater <br /> Exhaust fan Sink service/bar/mo /etc.) <br /> Heat purnp Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease tris <br /> Ducting Roof drains <br /> Other Nledicat Gas <br /> PRI NKLER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Other. <br /> rtify that I have read and examined this application and knmy the same lobe true and correct AI provisions of laws end ordinances governing this type of work wall to crimp: <br /> ier specified herein or nut The granting or a permit does not presume to give auuwrity to violate or cancel the provision of any other state or local ITN regulating construction <br /> ruthorized by this owner of this property to perform the work for which application is made and I comply wllh the State Contractors Low Is 27 RCW and 2a6.2a0A t,VAC <br /> uthorized Agen,t _gn lure_ Data (Revised 92014) <br />