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pa/O1/2p16 FRI 8:32 FAx FaAt water xeater �002/002 <br />�P��MI�T APPI�ICAT�� �����' <br />BUILDING/II/I�CI�IAN�CAL/PLUM�ING/�IGNISPRINKL�R/DEMOLIT'10N <br />CITY OF �VER�TT PERMIT S�RVICES <br />32�0 Ced�r St., Everett, WA 96201 A�25�257-8810 �AX 425-257-6857 vwvw.everet#wa.org <br />/�D b <br />\L for new Conetruction� ShOrt Plat/subdfvlslon Lol No_ �attach copy o( lOna 10ga1 descrlptfo��) <br />ER VV I�.V Cjf i' Phone/E-mal! d"� � c��/ 1J <br />'s CIlylState/Zip �iv��'�' � �j�1i ,%�' i��� <br />— ��!�1 <br />APPLICANT: _ Owner ,� OwnaPs Agenl � Contracror _ Contrector�6 %Q6f7E _ TBI�Qnt (muel pravlAe a le(te� o(mneen� (ram (hg o»nar W Uo work fn Ihe fpqae) <br />CONTRACTOR "� ��- 5tate Lic- # <br />w�� ' Q �.Clt Bus. Lic_ <br />Address � ��' N � n c� ��� D < < 1.� /� <br />- "f'��U� 3 ; r/tQ �11�' . PhonelEmall �ori�j il1 � ('�'tNi ! I J 'I"il <br />N E3USINESS A CONT,4CT FOR P�FtMIi Ls��e.�- <br />�� � ��� V� <br />� Phon�/E-mall e � <br />BUI�,DIN6 PEitM�T APP�ICOTION CONTRAC'r' PRICE OF WOF2K <br />,�xisting Use of Sullding �� HEA'F SOURCE: <br />PCoposed USe of 8 Gas �lectric Olher <br />Buifding type: ingle Famf _ Duplex_Townh Multi-Family � Comrnercial <br />T e of ro ect: New Addltlon Remode .XRe a- T.I. Si n S rinkler Demolitlon Chan e of Use <br />D�SCRIPTION OF WORK (additlon�! space provlded on tha back) ; <br />`���� ��►�.�,� � l� C�� S f��Gl.,-.�-�i' �.Dt�� <br />M�CNANICAL P�RMIT APPI.ICATION <br />of Prvject: _New _qddn �Alteratlon _Repelr <br />�� — air handling units <br />Forced alr systems <br />Gss piping � <br />Water heater � <br />Qas firo lace <br />Oas ran e <br />Clothes dr er <br />Ran e hood <br />�xhsust fan <br />Heat pump <br />Unit heater � ��� <br />Boiler <br />l�efri eratlon � <br />W oodstnva <br />I Other <br />SPRINKL.ER / S � -RES3 <br />. Number of Heade <br />E{IA <br />PLUMBING P�R�V[IT AP��IC4TIpN <br />o�ProJect: „�jVew�Addn �Altaration_Repulr <br />Show Number # of flxlures <br />� iollet <br />�� 8athtub <br />Shower <br />er <br />cKtlaw prgventer <br />nal '-- <br />Floor draln <br />Grease trap <br />Roof dralne_ <br />Medfcal Gas <br />Olhor: <br />Other: <br />I he►epy c011ffy (hat I lieve rebd and examined IHIa dppllaallon and know �hg Same ro be lfUe and correcL All provl6lahs of lawa and ordlnqnoms gaverning thle typg o� WO�k WIII be comp <br />Wllh wflAtflsr apeclfled hergl� or not. The gren�f�0 of e Dermlt Uoeg nol pr9SUme to glve autl+arity to vlolate or �encef ifie provlelpn o� any alher etate or loce� �ew rogulefing conatruc�lon <br />Tn 1 I eht au odzed by �he o ner oF � prope.ty to paAorm lhe work }pr Whlch eppllcatloh la made snd I comply wllh the Statg Conlraclora Lew 18,27 RCw and 298.200A WAC. <br />- --- l l� <br />Owr � a gsnt lenat � Date <br />(Revlsvd 4/z096) <br />