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07/23/2015 THU 9: 49 FAX Fast water Heater U003/005 <br /> PERMIT APPLICATION c2)05�26 <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425257-8857 www.everettwa,org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX p -7P 1Y 'lr_ <br /> I I Vl✓ <br /> LEGAL for new cons(ruclion: Shor(Plat/subdlvlslon __ Lo[No, (attach copy of long legal descrlpllon) <br /> OWNER Phvn' -mall �►' e <br /> Addrvae �� City/SlatelZipt/ <br /> APPLICANT:_Owner _Owners Agenl )<Cvntractor Contractor's Agent Tenant(muni provI49 9 faller of coneent from the owner to do work In ma opoco) <br /> coNrRac7oR L& I uC.#F SAY- WY COE Bus. Lig.# 3 <br /> Address i'117q5 North Creek'PerT(wa South, S1 EC-1"06Bothell, WA 98011 dmall S s�t�a ���(04, 'VN <br /> TENANT BUSINES5 NAME ICONTACT FOR PERMIT r <br /> BUILIID1140 PEFdMIT APPLICATION CONTRACT PRICF OF ORK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Buildi119 Gas Eleclrlc Other <br /> Building type, _Single Family _Duplex_Townhouse _Multf-Famlly _Commercial <br /> 7ypeof project: New Additlon Remodel Repair_T.1,_Sign_Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additonal space provided on the back); <br /> �-mav����ac��s wa��✓ �i�P.�u" ire � S�e� �oc�k�Vl . <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of project; _New_Adds _Alteration_Repair Type of Project Now Addn TAlteratlon_Repair <br /> Show Number k or flxtures Show Number(+1)of flxturas <br /> A/C—air handling units Toilet <br /> Forced airs stems Bathtub <br /> Gas piping Lavatory wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dr er Clothes washer <br /> Ren a hood Water heater <br /> Exhaust fen Sink(servfce/bar/mo /etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boller DrinkIng Fountain <br /> Refrl eration 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 cerfify that I hovo rood end examined this oPPllca(lon and know the same to be true and correel.All Gfe)vleions of lows and ordlnanceo govorning Ihle type o!work will be compllod <br /> with whothw sp—iflod heroin or not,Tho granlln0 of a permit does not presume to give euthorily to vlolnlm or cenwi tho provision of any olnor elate or local law regulelln0 tonnlrucllon <br /> That I am authorized by the owner of ibis vrooerty to perform the work for which application A mado and I cornpfy with the Stale Conlrsclore Law 10.27 RCw end 290.200A WAC. <br /> Aut�torlieo r+yr„ .,ra,, ,u Date <br /> (Rev/sod 6/2072) <br /> r <br />