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Jul 02 2014 1 : 12PM AF MSPLUMBING 0-691 - 1392 P . 2 <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 wvvw,everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPE TAX ff TP,4 <br /> 'L p0 0'� cr I <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legsl description) <br /> OWNER bW S Rhona/E-mail <br /> Address G�_. City/StatelZJp EYs' ­f­,� W �c Ln W? <br /> APPLICANT:—owner _Owner's Agent &Contractor Contractor's Agent _Tenant(must provide a letter of­r„from the owner to do�,ork.n S)e 9,.—) <br /> CONTRACTOR AdAkm Pkkmh--Yj0 FIMIL& I Lic.# AQrvvt PFl COE Bus. Lic. <br /> dress x Phone/Email <br /> TENANT BUSINESS NAME I— Chr� r� CONTACT FOR PERMIT q <br /> V P.1 0 LQ C� Phon/E�-m�all � IsS' l <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building (^ HEAT SOURCE: <br /> Proposed Use of Building ChoCo 1et -e 1��1D Gas_ Electric other <br /> Buildingtype: _Single Family _Duplex—Townhouse _M.ilti-Family -&Commercial <br /> Type ofproject: New Addition Remodel Re air_T.I. Sign S rinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additiorlai space provided on the back): <br /> p-0u Yiivl in ttit - �, gmv—) tri?lt Sinik-, ha,+-1G1 well sih►L) 2 fticTv <br /> 1 h5 � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project —New_Addn _Alteration_Repair <br /> Show Number it of fixtures Show Number(#)of fixtures <br /> AIC-air handling units ( Toilet <br /> Forced airs stems Bathtub <br /> Gas pipingLavatory (wash basin <br /> Wafer heater Shower <br /> Gas fire lace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink service/barlmon/etc. <br /> Heat purinp Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medlcal Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: Sci <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the sam a to be true and correct.All provisions of lanes and ordinances governing this type of work will be complied <br /> with whether specified heroin or not.The granting of a permit does not presume to give authority to violate or cancel the provlslon of any other state or bcai law regulating construction <br /> That I am a thurized by the owner of this property to perform the work for which application is made and t comply wlth the Slate Contractors Law 16.27 RCW end 29r3.200A WAC, <br /> ner/A horizod Agent Signature bate (Revised 612012) <br />