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1AN/20/2016/WED 01;36 P�2 Greenwood Heating FAX No,206 462 6216 P,001 <br />� � <br />PERIVrIT A,PPLICAT�QN <br />BUIl�DING/rUIECf-�A,NICAL/PLUMg�NG/SI�N/SPR[NK�ER/DEMOLlTION <br />CITY OF �V�RETT PERMiT SERVIC�S <br />3200 Cedar St., Everett, WA 98201 425-257-8810 �'AX 425-257-8857 www.everettwa.org <br />APP�ICATION$ ARE ACCEPTED FROM 8 AM 70 4 PM <br />SITE ADDRESS: PROPERTYTAX #� PERARI #�, <br />IAC?f�.Ci Drl'�►�e P �7p1 �t �Arn i � �-�rr��p�#— C� �r'�r-�C.1 �'sr�d--, -, ��rw�.r.,, .. _. ,,. s/l n � �I „ (�V .� /�l'!� <br />LECYAL For new ❑onstruccivn: 5hort Plat/eubdivision <br />OWNEFi <br />No. (attach copy of Iong legal description) <br />Phone/�-mail <br />� GitylSzate/Zp �- � `� <br />_ Owns� Ovoner'� Ar.�ent � CO]lif2Ci01' � COY11(flcfo�'s AgBRI _ TBflc'iflT {7��Et provide a Icttcr of G0�56ntirom,ths Ow�e�tG tl0 WOfk In 4t7a Cpace) <br />� � A� ��� I l_io, #� EEt� ��i GOE Bus. Lic. # <br />) �"J ��� r�� c7Cl��,'?T�� ��� Q.�� J� Phone/Erna11 �Q ��j "t ��, � <br />TENANT BUS[NESS NAME — <br />�l%� <br />BUILDING PERMIT �#PPL[C/�T�O�I <br />NTACT FOFi p�RM T <br />►veex�s.��d �.�i�� � r4C. <br />x <br />F'hone/E-mail `�",�� L <br />CONTRi1CT PRIC� OF WORK , `�� <br />Exlsting Use of Buifding H�/�7 SOURCE_ <br />Proposed Use of Buildiny Gas Eiec�ric othsr <br />Building typs; Single Family � Du�lex �i'ownhouse Multi-Family _ Commercial <br />iy e of ro�sct; New Addition Remodel e air T-I. Sf _ n S rinkfer Demoli#ion chanqe of Use <br />D�SCRIPTION OF WORK (additionalspsce provided on the back) : <br />��p�Ce c�c� C�a.r�.as� Q�(l <br />��x �,,� l.. �-(�OQF � �-� ��- `� a �� � `U / V <br />IV��CHANrG/�►� P�RMIT APPLiC�1T1oN <br />ot Arojoct: �Naw,�Addn �Alterafion� <br />5how NurrTber �l of fixfures <br />A/C - air handlinq urlits <br />Forced air svstems <br />Gas pipinq <br />water heater <br />Gas fireplace <br />Gas ranQe <br />Clothes dryer <br />RanQe hood <br />ExhausCfan <br />Heat pump <br />Unit heater <br />oodstove <br />� Other <br />SPRINKL�R / SUPPR�SSION 3 <br />Number of Heads <br />PLUMBING PERMIT APPL.IGATION <br />r Typa of Project= _nfew _Addn _Alteratlon _Rapair <br />Show Number �k of 1lxttrres <br />To I I et <br />Bathtu 6 <br />,��,� ����k <br />�,,�(�o�- �-o CA�� Y-i <br />Z.1 <br />I herehy cartify that I he�2 read an4 eXamined Shlg aDpllo�tb� �nd hnow the same to be true end correct. lall pro � <br />wt[h wheiher gpscifESU f�ereln or not, TMs �ranting of a permd doss not preaume so glve authorl�y ro vtoialw3 or ca <br />�'hat I am autFt I'ized by the own�C of is pfbperly to perform lhe work for whlch gppllG2tlqn Is maae antl I comply wiui �ne acata Uontractora Law 18.27 f�CW �nd 298.ZQDA WAC. <br />� il�l�ol� <br />Owndr/AutAorizstl A4ent S;flnatura Date (Rev/sed 6/2o12J <br />