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FEB/10/2014/MON 12: 45 PM Greenwood Heating FAX No, 206 462 6216 P, 001 <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 8 AM TO 4 PM <br /> SITE ADDRESS' PROPERTYTAX k PERMIT# ' ®� <br /> G V� C7045 0100 0 <br /> LEGAL for new construction: Short PIaUsubdivision Lot No. (attach copy of long legal description) <br /> OWNER —� MaL4jq <br /> VPhone/E-mall <br /> Address lP�q Ave, City/State/Zip <br /> APPLICANT:—Owner _Owner's Agent 4,Contractor _Contractor's Agent _Tenant(must p(0V(0ca lQU2roff—sent from the owner to do woex it Vie apecs) <br /> CONTRACTOR �'I'P•�Ir1�0 C L&I LIC.# (� r ��O(ZZLkiOE Bus. Lic.#C)y3q <br /> Addreas '92-5 S, S St :V Phone/Email W(p -Itq �a,% <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mall <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK O b <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric. Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: _New Addition Remodel _Repair_T.I. 81gn Sprinkler Demolition_Change of Use <br /> DESCRIPTION OF WORK(additic 1 space provided on the ck): /•/__• n (��(,���40P-3 tel <br /> Replacy gas rnQce, 1/' xL <br /> �O <br /> 076 t g Q r 00JP 'e . <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New__Adds XAlteratilon_Repair Type of Project: _Naw_Adds -Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> ! A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&dis osal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration 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 hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be compiled <br /> wish whether spectfled herein or not.The granting cf a permit does not preeume to give authority to violate or cancel the provision of any other state or local law regulsting construction <br /> That I am authorized by the owner of Is property to perform the work for which application Is made and I comply with the Stats Contractors Law 18.27 RCW end 298.200A WAC. <br /> 2-129 <br /> O rfA uthorized gent Signature Date (Revised 612012) <br />