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11/16/2015 MON 9:52 FAX Fab-: water Heater U002/002 <br />_.... - -....... _._....._...- .. _..,.. _.....,--.._._... <br />'ERMIT APPLICATI <br />BUILD INGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Coder St., Everett, WA 98201 4,25-257-8810 FAX 425-257-8857 www.everettwa.org <br />slT <br />77 <br />Pr <br />LEGAL for new constructlore Short Plat/subdlvlslon Lot No,_.. (attach copy of long legal descrlptlobn) <br />OWNER T 1(�} <br />Phone/E-mall v l a5 <br />Addrase O I ' S �� <br />City/State/Zip <br />APPLICANT; —Owner —Owner's Agent - Contractor Conlractor's Aflent _ Tenant (muet provide a letter ofconoent from Iha --ner to do wo,k in the space) <br />CONTRACTORfftST � �Clfy BUS. Llc. <br />Addrees ([ I N� iwl r Inl <br />Phone/Email 3c t ✓VT / T S 7=t <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />Phona/E-mall <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />Existing Use of Building <br />HEAT SOURCE: <br />Propoged Use of Building Gae Electric Oth®r <br />Building type: Single Family __._ Duplex_Townho ulthFami _ Commercial <br />1 e of ro-ect: New Addition Remode Fla air T.I. Sin 5 rinkler Demolition Change of Use <br />L)ESCRIPTION OF WORK (addlllonar space prov(ded on MG Back) <br />o Vt lr la C.Q_ <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />rypa of Project Now _Addn _Alteration Repalr Type Pjacf: ,Now __Addn _Altaration Repair <br />Show Number # of fixtures Show Number NJ of fixtures <br />A/C - air handlino units Toilet <br />Forced airs stems Bathtub <br />Gas i in Lavatory wash basin <br />Water heater - S Shower <br />11 <br />Gas fireplace Kitchen sink & dkeposal <br />Gas rancia hwasher <br />I Ran e hood <br />Water ter <br />Exhaust fan <br />Sln ser ' e/bar/mo /etc. <br />Heat PUrrip.B <br />kflow or enter inside bid <br />Unit heater <br />final <br />Boiler <br />DrinkingFountain <br />Refri eratlon <br />Floor drain <br />VV ve <br />Groase trap <br />DuCtintitiq <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I horeby certify that I have read and examined lhle appllcallon end knoW the same to be true and correct, All provialond of laws and ordlnancea gOv9(ning thi% type of work wlll be comp <br />with whether apeclfled heroin or not. The granting of a I)Ormll does not presume to give doihorlty to vlolate or cancel the provialon of any other etalo or local law regulating conairuolion <br />Th t I am authomzec Oy mo ow er of thle property to perform the work for which ppprloNtlon Is made and I Comply with the State Contractors law 18,27 RCW and 286200A WAC. <br />Owner/Authorized a <br />g t Signatur0 Date <br />(/?av/sGd 4/2095) <br />V <br />