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'PERMIT APPLICATIlf <br /> BUILDINGIMECHANICALIPLUMBING%SIGN/SPRiNKLERIDEMGLITION <br /> ­Rmn SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettvva.arcU <br /> SITE ADDRESS: ! S / PROPERTY TAX It ER--7—I11�T# <br /> /,Wl''7� Utaxt� o 32 351 Do�oO _p <br /> LEGAL for riewy construction; Short Plat/subdivisinn Lat NQ, (attach caoy of Iia{e sa!descrioti ) <br /> OWNER �iV /� p Phone/E-mails• 0• ' ,�J �i <br /> Address City/Stateop <br /> APPLICANT; O"Ier _Owner's Agent —Contractor —Contractor's Agent _Tenant im , Prev,le !erc r or;on=ent from ate iwne+OD 1„ in Me spare) <br /> !CONTRACTOR IState Lic:# Cita Bus, Lic:it <br /> Address Phone/Email <br /> TENANT BUSINESS NAMECONTACT FOR PERMIT w,-w ,A� <br /> Phone/E-mail 4)11 .,7*ZA' 1 44 IY7Y (O' <br /> y �+ s <br /> .B U 1 L DING PERMIT ADPI I;t!AT<CtIIN Cr- s0 :0.<`E��.`��`��", s <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 t <br /> IType of proiect: New Addition Remodel Repair T.). Sign Sprinkler Demolition Change of Use 3 <br /> DE 5 PTION OF WORK/(addlicnat space provided on the back): <br /> l MEECI•IANII✓AL PERMW APPLICATION ! PLUMBING PERMIT APPLICATION � <br /> viii nttctauv`it siC:yia'dP Iiyyic u t'ta.jci:i.77. <br /> +`ictt's nuaat rtiicsat"tvit tZepm% i <br /> { Show Number(#)of fixtures ( ( Shaw Number M of fixtures <br /> A/C-air •handling nits 1 T�,fet <br /> d � { { t <br /> I"'OfGeGi air-5y SLefTiS (-- � BdChitlO <br /> Gas pinina t Lavatory(crash basin3 <br /> Gas fireplace Kitchen sink&disposal <br /> Gas ranoe D sh urn <br /> Clothes dryer Clothes washer _ <br /> Rance hood '"later heater � <br /> Exhaust fan Sink(servtcelbarimopletc.) <br /> L <br /> Heat rump ! Backsts Ar preven*eT(inside bido) 3 <br /> Unit heater ( ( Urinal E <br /> Of tt'king t-1aut ttatt t ! <br /> Refrigeration Ficiorara_in <br /> I tNnnicfnva G-.ease!ran <br /> iiviit"' iivvf dralnS <br /> s� other f�r'113.`1Cal G2&M2A%RINAfsGR ! aV���C�jiVR .7 i.7 f Edi <br /> I i t � C)ther: i <br /> ! Number of Heads ( ; Other: t <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.A11 provisions of laws and ordinances governing this type of work will be comp) <br /> with whether specified herein ornot.The oranting of ape it does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I am tutK rued t the owner ofthis nerty to p mn the work forwhich a plication is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WRC <br /> w,r�n"Ag-­;t5: <br /> ... @.. Sig^:tui a.� {4s> J <br />