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04/19!'2015 13: 57 3608296505 PLUMBING PROS PAGE 01/02 <br /> d � �t'� V , <br /> uAAI IIS <br /> PE7;;;R <br /> LICATION <br /> BUILDING/MECHANICA N/SPRINKL P �� <br /> ER/DEMOLITION <br /> CITY OF EMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: / IPROPERTYTAX# #MIT <br /> ��Ji —01 <br /> —--------7— FPT <br /> LEGAL for now construction: Short Plat/subdivision t-ot No. (att-ach copy of long logal description) <br /> OWNER Fes- Ga �v Phone/F-mail <br /> Addrem <br /> {� Ity/Sfate/Zip <br /> APPLICANT:_Owner _Owner's Agent -Z Contractor Contractor's Agent Tenant(m t provlde a letior or conpem Rom the c�or,o do w,n([n the epnta) <br /> CONTRACTOR t State Lic.# City Bus. 1-1c, �(YS J <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-m ,3L6 -,Lq-61-e3 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK_, <br /> Existing Use of Building HEAT SOURCE., <br /> Proposed Use of Building Gas Cloctric Other <br /> Building type: _Single Family Duplex`Townhou9e Multi-Family _Commercial <br /> Type of r0 eek: New Addition Remodel Re air T.l, SI n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additlonal spaco provided on tho sac/c) <br /> �21not�e Ct y<�vr'es / / hS��/(' SU(�✓vL�*� '>� �� �Poe/�7! <br /> �ur�' U-) <br /> MECHANICAL. PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Protect: _New`Addn _Alteration_Repair Type of Project: `New_Adan _Alteration_Repair <br /> SHow Nu,nher # c" fixtures Show Number # of fWares <br /> A/C--air handlin units Toilet <br /> Forced airs stems Bathtub <br /> Gas i in Lavatory wash basin <br /> Water heater Shower <br /> Gas fire lace Kitchen sink&die osal <br /> Gas ran a Dishwasher <br /> Clothes d or Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink service/bar/mo /etc, <br /> Heat um Backflow reverter inside bid <br /> Unit heater Urinal <br /> rinal <br /> Drinking Fountain <br /> Refri eration Floor drain <br /> Woodstove Greaso tra <br /> Dustin Roof drams <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Other: <br /> Number of Heads Other: <br /> ��—c l b .Fu•F-ur. <br /> I hereby certify that I have read And examined HIM npplication and know the same to ho true and CDfrorl.All rovi..11ons of taws n VS< <br /> with whether apeclgev hcrrin or not.The grnnting a4 a permit d p nd ordinations governing IN5 type of work will bo comp[ <br /> That to her sp hr-.d by the owner t.thio property!o a per made worot pm•,�Mc to give auihorlty to v[olnto or cancel the provision of tiny other Mote or local law re pulating ccnstruCtlon <br /> for which epplfc tion Is made,and I complywith the State,Contractors law 18.27 RGWand 296.20oA WAC. <br /> owner) ut orrzad Agpnt signature 0 o <br /> (Rev/sed 412015) <br />