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425-252-1666 c.m. heating <br />10:57:23 12-01-2015 4/4 <br />t V�� iT/ i I /"i 1 1 L.. 1 V/"'1 1 1 V' t r • <br />B UILDINGIMECHANICAL/PLUMBINGlSIGN/SPR�NKLER/DEMOL(TION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Ev�ratt, WA 98209 425-257-881a �AX 425-257-8857 ��rrr��i.evereth.��� org <br />�DDRE55; <br />a C�� V�1 � <br />_ f�r ra:i cons?ructian. S�ort Fla;�sltd���ns;o <br />P �['T I�cY � � LL <br />� �c�S �l Y�'�1�.141�}.e� <br />:ANT: _ Cl'unar _ O�:m.er'; qg��t V <br />zA�TOR C f►1 �a�i r1G t n� <br />`r <br />Contra�t�r <br />DING PERMIT APPLICATIDN <br />oPeRrv rax a <br />T <br />Lol �1�. (a!ta,n cop� cf long tagal des�rip!i�r) <br />?ror,_rc•maii U�L-• ��� �� � /,��n <br />:il'/.'Sta;a2ip � <br />Cortra�lor's A��nt _ <br />0 <br />Tenan[ (T�sc,,�,:::� �:ayr. :r �r.�:-t�.r r� �.: ar � i� ec,: n rn �;�.a <br />�������� �u�► ��ogSR�-�,�,e�� ��� �ol(�bq8 <br />w� q g�� Phane/Email �'� 25� <br />CONTACT FOR PERMiT <br />��,hbi,e� '�25 25� �e�1�lo <br />? �ne/E-ma°I ( Yi <br />COPITRACT PRICE OF V/ORK �_ <br />Usa af 6uilding <br />�r1 Usa o1 Qui!d'in� G3� <br />typa: _ 5in�{_ Family _ Duplax To�,mhaus: _ 14iulti-Fami!y _ Gommsrcial <br />projact PI=�v Additlan Remod�l Ra�air TJ, 5ian Snrinkler C <br />;IPTIOPJ OF WOFZK (3�d;?:o�'73ISJ73:A p�v%d��er t;�� b���c): <br />�S�-�� �,�' �'�'`� <br />1ECHANICAL PERMIT APPLlCATION <br />�rojecL _Na�.ilAddn �Altaratlon_Rapair <br />Show Number(fl) of rzturas <br />� A/C — air handiing units <br />� Forced air s�st=_ms <br />� Gas piping <br />� Watarhaa��r <br />I Gas firepiace <br />, r�w� <br />HEAT SdURCE: <br />hanq� ofiUs� <br />PLUMSING PERMIT QPPLICATtON <br />Typo of ProJo�t: _Now _Addn _Altaratlon _Repalr <br />Show Plumbcr (k) of fixfuras <br />Kitchen sink 8 <br />othes washer <br />Q��� nreven <br />Bailer Drinkln Fountain <br />ReFri eraUon Flo❑r drain <br />� Woodstove Grease tra <br />Ductin RoaF drains <br />Other PAedicai Ga� <br />PRINKLER / SUPPRESSlON SYSTEM other: <br />Numtaar of He3ds Other. <br />,tif� that 1 have rea3 and examined thls appGcalian an� knm,v the aartca 4� te ine end carrzn. A:I pr�visions of laNs and ordinancae po�aming this rypa cS work w�1 ee camp� <br />er specifia3 herain cr not Tha granUng of a permit d�es not prasums t� giva autberly to violata ot cancel lha prarlsion ol any ather at31a ar Wca! la.v regula�nq constr.�ction <br />r�tharizad by the o•.vnar ol this prnperh� lo pe�form thc wark f�r which apFGcaLan (s mada and I c�mp�y xiih tha Sta!e ConVs=t�r� La.v 1 B Z7 R��N a�d 29ci 2o4A W.aC <br />uthortzad Agant gnaturo Oa � (R�vlsed 9!1014J <br />� . � . . . . . \� �� �Ci <br />� / <br />.,._.._ ..._... ........ ............ .__....... ............. ._..__ ......__ _....... .......,. ._..... ._..._.. ....._....... <br />.. __. ._._ . ._..._ . _........ __... .. ... <br />