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02/04/2016 THU 9: 47 FAX Faat water Heater 0002/002 <br /> PERMIT APPLICATION511 < <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 /> SIT ADDRESS: <br /> C -AC C-- I PROPERTY TAX 0 <br /> DWC)3 P RMIT# <br /> LEGAL for new construction: Short Plat/subdI'll Sion Lot No. (attach copy of long legal description) <br /> OWNER C K,[moi/, `,4-rj Phone/E-mall 15D 577 L <br /> Address C p Clty/Stat®/210 �� Til g- <br /> 0-6 <br /> APPLICANT: Owner _Owner's Agent Contractor Contractor's Agent Tenant <br /> (meet pro�Ide a letter of consent 4om the oroier to ao woih In the space) <br /> CONTRACTOR f #/State Llc. EA w� �� Clt Bus. Lic. <br /> Address l ��f N � � ���U tC- f1�p <br /> UJ' Phone/EmaA <br /> TENANT INESS NAMF= CONTACT FOR PERMIT v Q A-{mac•, <br /> Phone/E-trail r �I <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK_ <br /> Existing Use of Building > HEAT SOURCE: <br /> Proposed Use of Building Gas r;leclric other <br /> Building type: _Single Family ,DuplexTownhq inti-Fa Commercial <br /> Type of project New Addition Remode Repair T.1. Sin 5 rinkler Demolltlon Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on a act) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIO <br /> PI- <br /> Type of Project: _Now_Addn ____Alteration_Repair Type of Profact; _Now Addn _Altoratlon Re r <br /> Show Number of f/xturas Show Number(#)of fixtures <br /> A/C-air handlln units Toilet <br /> Forced airs stems Bathtub <br /> Gas I In Lavato wash sin <br /> Water heater Shower <br /> MRan <br /> ire face Kitchen sin disposal <br /> r--,,- Dlshwas r <br /> es dr er lothe asher <br /> e hoodt heater <br /> ust fan WGrsa'3'0 <br /> r/mo /etcum ter(Inside bideater n <br /> Refrigeration <br /> Woodstove <br /> OtheDuctr Roof drains <br /> Other Medlcal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM other: <br /> Number of Hoods Other <br /> I hereby certify that I have reed and examined(his application ana know tho same(o be true and correct.All provlelon8 of laws and ordlnancog goveming thla type 09 Work will be comp <br /> with whathOr specifled herein or not,The granting of a permll does not presumn to give auihodly t0 violate or cancel th0 provlelon of any other state or local law ragulRlIng conatrucllon <br /> That I an,euthorized by the ow er of Ihla property to perform the work for which applfcallon le made and I comply with the Stale Contractor;Law 18.27 RCVv and 296,200A WAC. <br /> Ow rlAut urize Argent Slg r ' I <br /> Cate (Revised 412096) <br />