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SEP/25/2015/FRI 10: 01 AM Greenwood Heating FAX No. 206 462 6216 P, 001 <br /> 0 0 <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 8 AM TO 4 PM <br /> SITE ADDRESS: Z PROPERTY TAX# PERMIT# <br /> 45. 1 c f- en V IOWDOm2 0412) —6"1 <br /> LEGAL for now construction: Short Plat/subdivision Lot No. attach copy of long legal deacdptlorll <br /> OWNER Phone/E-mail Cy.25 `'1 <br /> — � p�l <br /> �l �Z <br /> Addreas yQt(l�- [city/State/Zip <br /> APPLICANT:_Owner Owner's Agent I.Contractor _Contractor's Agent —Tenant(must provide a Inner or consent from the owner to do work In the apace) <br /> CONTRACTOR L&I Lic.#G COE Bus. Lic. <br /> Address T 2ga.x WA q j3"1` Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phon�il <br /> . C4 YYZ <br /> BUILDING PERMIT APPLICATION CONTRACT PRIG OF WORK <br /> Fxlsting Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gee Electric Other <br /> BuIldIng type: Single Family —Duplex_Townhouse —Multi-Family —Commercial <br /> Type of pro!8Ct Now Addition Remodel Repair T.1. Sign Sprinkler Demolition Change of Use <br /> OESCRIPTION OF WORK(additional space provided on the back): <br /> XvNsA(A l\ &AWesS V)aAv pu M P <br /> MECHANICAL PERMIT APPLICATION PLUM13ING PERMIT APPLICATION <br /> Typa of Project: New^Addn _Altoration___Repair Type of Project: _Naw—Addn _.Repair <br /> Repair <br /> Show Number(0)of fixtures Shaw Number 0 of futures <br /> A/C—air handling units "Toilet <br /> Forced airs stems Bathtub <br /> Gas piping Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen slnk&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 pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeratlon Floor drain <br /> woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provlalons of laws and ordinances governing this type of work will be complied <br /> with whether Specified herein or not.The granting of a permit does not presume to give authorkyto violate or cancel the provision of any other atate or local law regulating construcdon <br /> That I am authorized by the owner of this property to perform the work for wh/ch application Is made and I comply with the State Contractors Law 1827 ACw and 296.200A WAC. <br /> q/215120tf- <br /> Owngt/Amhorized Agent Signature Date <br /> (Revised 46/2012) <br />