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MAY/19/2015/TUE 12:12 PM North Cree� Aoofing FAX No,425 48Z6524 P,001/001 <br />, � � <br />PEI�INIIT APPLlCATION <br />PU��.DINGIMEC�I,A,NfCAL/PLUNIBING/SlCN/SPRIN�CL�RIDEN10L1TiON <br />CITY OF �V�RETT PERMIT SERVICES <br />3200 Cedar St., Evereft, WA 98201 42�-257-8810 FAX 425-257-8857 www.everetfwa,org <br />APPLICATIONS ARE ACCEPTED FROfit[ 8 AM Td 4 PNI <br />SI7E ADDRESS:�! � n . l.LJn �511 C� r PROPER7YTAX# PERMIT# <br />- D52� <br />LEGAL. for new construction: Short P1aVsubdivision Lot No. (at#ach oopy of IQng legai descripCion) <br />OWNER �AC�YL'(I` <br />Owner ^ owner's Agent (� Contractor <br />CONTFZ4CTOR <br />BUI[.DlNG PERMIT APPLiCAT10N <br />Existipg Lise of �uifding <br />Ci�/Stafe(ziF <br />COf1V8C20�S �Bfli _ YBfl2fif (must prvvide o IeNeroFcon:e�(Rnm Ul6 Owflef 10 da wbric in fhe epauJ <br />� � i �.ic. # � v � �� coE Bus. �ic. # �' <br />�� phonelEmail ��— g <br />COt�[TACi FOFZ PERMITI� Q� � �� � ���� � <br />W <br />P�qR�E�„a��''�2S—"1��3`�t� � <br />CONTRACT PRIC� OF WORK <br />Proposed Use of Buifding �_ <br />8uilding fype: � Single Famify _ Dup(ex_'f'ownhouse _ Multi-Family �, CommerCie[ <br />T go� ro'ec{: New Addition Rerpode! Re aif 'T.I. Sign_SprinkEer_ <br />D SCR[PTiON O� W4�2K (additional space provrded on the Dack) : n <br />��.� C a� � J�"UryRX� ��� C�1.�ru1�n r8 p.� �{ 1���9.. <br /><� � �, <br />w�-o,�-�,�, �� <br />11AE�HANIGAL PERMIT APPL�CATiON <br />of ProJect: _New_AdcEn Altaratloa_Repair <br />Shovs�Number(#} offix#ures <br />hUC ^ air handling units <br />� Forced air syst�ms ' <br />Gas piping <br />Water heater <br />� C,as fireplace <br />__�_ Gas ranqe <br />Clothes d er <br />Range hood <br />Exhaustfan <br />Heat pump <br />� Unit haater � � <br />� Boiler "'— <br />_� Refri9eration _ <br />� Woodskove <br />� Ducting <br />� Other <br />SPRIldKLER / SUPPRESSION SYSTEM <br />I Number of Hoads <br />,tc,��z. mo <br />i-iEAT S�URCE: <br />�lectric Other <br />olikion_ Chancte of Use <br />�G i�00��� <br />PWMBiNG PERMIT APPLICATION <br />oFProjecI: „„,,,,New_Addn AlCeratton_Repair <br />Show Num6er (#) af f�ures <br />� 7oilet <br />I Sathtub <br />Dishwasher <br />Cfothes washer <br />Urinal <br />Grease <br />Medical Gas <br />Other: <br />Other: <br />I heraby ce�i�y th3t ! nave re�d �nd ezaminea p,is 8ppli�kan and k�ow �,e same lo ba lrue ond correc2. A!I provlsione of Iawa anQ oN[nances goveming Ihis type of work will bs compired <br />wiN whather Specifiea nerein or not, rne granting o� a permil does not presums lo givs authoriry to violat� orcanceE tha provlslon o[ eny otner staie orfo�� law regula6ng constr�ction <br />Thal i am aulhortzea by I�e ownerof I�Is property to peRortn (ne wort� Fpfwhieh appli�uon is meds end f comply v�th the State Conlractors Law t8.27 RCW and 206200A �NAG. <br />05 -l�l- ZaL� <br />Ow Y/AUfi10rSZSd A Signa�Urg Date (Rsvised 6/2pJ2J <br />