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12/15/2015 TUE 11: 19 FAX Fat9t water Heater f�003/009 <br /> OERMIT APPLICATIC* 3 D <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.arg <br /> SITE ADDRESS: DA/ PbrP_E$ TAX It n^D MIR <br /> ?_UOOqLEGAL for new constructlon, Short Plat/subdlvislon_ U� Lot No. W(attach copy of long legal desorlptlon) <br /> OWNER Phone/E-mall <br /> AddressZ LSE- City/$late/Z1pEV I AlA 9V6 <br /> APPLICANT: Owner _Owner's Agent Contractor Contractor's Agent —Tenant(moat provide a tor(ar of conesnt Rom the owner to do work In the apace) <br /> CONTRACTOR ST VJ ATC F—AState Llc.# wvj�- T Cit Bus,Lic- L 2 <br /> Address ( ( ! N �� � vU+r � ( �nJ'' I ( Phone/Ernall <br /> TENANT AME CONTACT FOR PERMIT C" �- <br /> -KA TJ <br /> Phone/E-mall e <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Bul Gas Electric Other <br /> Bullding type: Single Famll Duplex_ Townhou Multi-Famlly _Commercial <br /> Type of prolect: ew Addltlon Remodo Re air T.I. Slon Sprinkler Demolltlon Chane of Use <br /> DESCRIPTION OF WORK(additfonal space provided ort the beck): <br /> Y'�G vp—/ LOL— S <br /> _—JL�L— CAJ� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: ___,_Naw Addn _Alteration_Repair Type of Project: ,New_Adan _Alteratlon—Repair <br /> Show Nurnber f) of flxfures show Number # of fixtures <br /> A/C—alr handim units Toilet <br /> Forced alr s slems Bathtub <br /> Gas Opinq Lavato wash bas <br /> Water heater Shower <br /> Gas fireplace Kitchen sink& is oast <br /> Gas range Dishwasher <br /> Clothes d er Clothes sher <br /> Range hood Water eater <br /> Exhaust fen Sin servlce/bar/ma /etc <br /> Neat pump ckflow proventer inside bid <br /> Unit heater Arinal <br /> Boller Drinking Fountain <br /> Refrl oration Floor drain <br /> Woodstove Grease trap <br /> Ou <br /> _,ctlrg Root dralns <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> —,- <br /> I horeby certify That t have read and examined this Application and know the acme to be(rue end correct.All provlslons of fawe and oronences governing thla type of Work will bu camp <br /> with wnethar sp6olfled herein or not.Tho granting of a permit does not preoume to give authority t0 vlatate or cancel the provision of any other state or local law repulaling construc(lon <br /> That I otn aulhorized by the own r of this property(o perform the work for whloh application le made and I comply w((n the Stole Contractors Lew 18-27 ROW And 290,200AWAC, <br /> �AIAA <br /> OwndKWulthorized Agent Slg atura Date <br /> (Ravlsed 4/2015) <br />