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06/01/2015 M0N 13: 20 FAX Fast water Heater X002/003 <br /> 0 <br /> PERMIT APPLICATION' <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITE ADDRESS: PROP A A b P�M'1 iTe. 6_ � <br /> LEGAL for newconstrucllon, Short l Iat/subdlvlslon I-ol No.____ (attach❑opy of long legal dascrip(lon) <br /> OWNER 0_L� Phone/E-mail Ll X <br /> Address gw� p� kl ^ city/91ale/ZIP qA 4l- W <br /> APPLICANT:—Owner _Owner's Agent )<contractor —Contractor's Agent Tennani(mull pmvlde a laser of conasnl Ram the owner to do work In 1116 apace) <br /> �'C <br /> � <br /> CONTRACTOR -`� _ A L d 1 Lic.# t V� �j�jL COE Bus. Lic, <br /> Address I'lln' 5 North Creek Parkwa South, S1 C_'10 Bothell, WA 98011 <br /> TENANT BUSINESS NAME ICONIrACT FOR PERMIT �A r <br /> Phone/f=•rnah' gC L�L <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF ORK_.. <br /> Exlsting Use of Building AT SOURCE; <br /> Proposed Uae of Building Gaa Electric Other_ <br /> Building type: Single Famlly _Duplex_Townhouse Multi-Family Commercial <br /> Type of project: New Addition Remodel _Repair T.I._Sin 5 rinkler Demolition —Change of Use <br /> DESCRIPTIOpN�OF WORK(addlflonal space provided on the beck); <br /> 7 � " Vt�t/U a �� r <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION) <br /> Type of project: —Naw V,,,,Addn _Alteratlon_Repair Type of project: Naw_Addn _Alteratlon Repair <br /> Show Number(#)of►lxturea show Number(#)of fixtures <br /> A/C-air hand][nq unite Tollet <br /> Forced airs stems Bathtub <br /> Gas piping Lavatory(wash basln <br /> Water heater Shower <br /> Cans fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer clothes washer <br /> Rsn a hood Water heater <br /> Exhausl fan Sink (service/bar/ma /etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refri oration Floor drain <br /> Woodstove Grease,trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other; <br /> Number of Heads Other, <br /> I horoby cerilfy that 1 nave read end examined Ihla oppllonion and know the same to be no and correct.All provllrlona of laws end oralnencot governing thla type of work will be compllod <br /> with wholhor epecifled here(n or nol.The grgnling of a permit does not preaumq Io give authority to vlclela or cancel the provialon of any other state or local taw reoufaling constfucllon <br /> That 1 am aulhorized by the owner of Ihla aroosrty to OVUM the work for which application le made qnd I comply with the Slate Contrgdors Low 10.27 RCW and 296.200A WAC. <br /> arg Lo I ,l! <br /> Authorvieo Advrrf ,b,, ,u bale (Revised fV2012) <br />