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Feb 23 2015 9: 11AM Clearview Mechanical 6-527-7967 p. l <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvvw.everettwa.org <br /> SITE ADDRESS; S C�.^ � �� PROPERTY TAX# PERMIT#PlO I` O , <br /> LEGAL for new construction SnortP1at(subdivlsien -ot No. (attach copy of long legal descaiption) <br /> OWNER j"?0" 0 Phone/E-mail <br /> Address iGity/State/Zp <br /> APPLICANT: —Owner _Owner's Agent ?-C Contractor ­Contractor's Agent _Tenant(must prowlde a leher of went rrvm the owner io do v rk m the space) <br /> CONTRACTOR / MC-(, 1hl G StateLic.# yy,l City Bus. Lic.# <br /> Address 6 q8AVEAJ6 S w� 91/S— Phone,/Emai: ZD U - 5-27' 3 Sts" <br /> TEN NT(B�U,SSIINE�SS NAMECONTACTFt�tO../RPERMIT <br /> vi [� <br /> ` al rz— <br /> PhonelE <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WOFtK d"777o <br /> Existing Use of Building t- I HEAT SOURCE= <br /> Proposed Use of Building I� f 11_ I`ll:r-G1 38s Electric Other <br /> Building type: _Single Family i Duplex_Townhouse _Multi-Famlly X Commercial <br /> Type ofproject: New Addition Remodel —Repair A T.I. Sin_Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(edditfonal space provided on the back): <br /> INSMUii, PlvAn,23trL G, �—IwvQ-F-51. <br /> MECHANICAL PERMIT APPLICATION PLUMBING OERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: —New_Add n 4AIteration_Repair <br /> Show Number # of fixtures Show Numbor # of fixtures <br /> A/C-air handling units Toilet <br /> Forced airs stems I Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater 1 Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range i Dishwasher <br /> Clothes dryer Clorthes washer <br /> Range hood I Water heater <br /> Exhaustfan i Sink servicelbar/mo /etc. <br /> Heat purnp Backflow preventer <br /> Unit heater / Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Wcodstove Grease trap <br /> D,.ti,g Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Oilher: F/Ooit_ m/9 <br /> Number of Heads 01,hier: SlAii <br /> I hereby certhy that I have read and examined Btls application and know the some to be true and correct.All provisions of lawa and ordinances governing lhla typo orwork will be comp <br /> viith whether specWed herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That om authorized by the owner of thls property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 298.200A WAC. <br /> OP"erl uthorized Agent Signature Date (Revised 912014) <br />