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05/24/2416 TUE 12: 29 FAX Fd51; water Heater 0002/004 <br /> OERMIT APPLICATI L-6/5 (LL <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 4.25-257-8857 wvvw.everattwa.org <br /> 31TE D �SS: �}{ -� S li UI - I`��3 PROPER AX ft (J� �V p `'1MI�# � �vtlJ <br /> LEGAL For new construction- Short Plat/subdlvlslon Lot No. (attach ccopy of long legal description) <br /> OWNER � �i�� t– U� / I Phone/E-mall <br /> Address 3 I T I S C. lL/ City/State/Zip <br /> APPLICANT: Owner Owner's Agent Contractor _Contractor's Agent _ Tenant(muet orovda a lather of coneenl horn the owner to do work In the apace) <br /> CONTRACTOR State Llc.# wW T .City Bus. Llc. <br /> Address IPKyU� S �(� WA-. ( ( Phone/Emall 01�j �13 ✓�l I�S f� ��€ <br /> TENANT BUST NAME CONTACT FOR PERMIT <br /> Phone/E,mall }� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 1 IPT 415� <br /> IExisting Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Efectrl Other <br /> Building type; Single Famlly _DuplexTownho Multi-Family Commercial <br /> Typ_q of ro ect: New Additlon Remod OCRe air . T.I. Sin Sprinkler Demolition - Chane of Use <br /> DESCRIPTION OF WORK(addltlonal space provided err the eckJ <br /> ME HANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Pr ject: New_Addn Alteration_Repair Type of Project: _Now-__1ddn —Altaratlorr_ Repair <br /> Sh Number # of fixtures Show Number # of ffxWres <br /> A/C—air handling units Toilet <br /> Forced airs stems zBathtub <br /> 1-7 Gas I ri Lavatory wash basin <br /> Water heater Shower <br /> G s fireplace Kitchen sink R disposal <br /> (3as\ranrie Dishwasher <br /> Clothka drver Clothes washer <br /> Ran a hood/ Water heater <br /> Exhaust Sink service/bar/mo /etc. <br /> Heat packflow preventer irlslde bid <br /> Unit 46ater Urinal <br /> Boi r Drinkinq Fountaln <br /> fri eratlon Floor drain <br /> oodstove Grease'tra <br /> Ducting, Roof drains <br /> Other Medical Gas <br /> S RIN ER / SUPPRESSION S STEM Other <br /> Number of Heade Other: <br /> I hereby cartlly that I have reed and examined(hie applloallon and know the Same to be true and correct.All provlslons of laws and oraingncas governing this type of work will be comp <br /> with whethsr epeclFled herein or not.The granting of a permit does not presume to give euthorlty to violate or cancel the provision of any other state or local law regulating Oorlslrucdon <br /> That I am authorized by the owner of Ima property Io perform the work For which application Is made and I Cohtply with the State:Onttaetors law 18,27 RCW and Z9©.a4oA wAC <br /> � a _ <br /> Own rl&th -e Agent Signature Data (Rovlsod 4/2095) <br />