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Aug 17 2016 11;58AM Washington Water Heaters 8663757454 <br />� � <br />page.1 <br />PERMIT AP iCATf�N <br />BUILDING/MECHANICA PLUMBING/ 1GN/SPRINKLER/DEMOLITlON <br />C17Y OF EVERETT PERMtT SERVICES <br />3200 Ced3r St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wWw.everettwa.org <br />ADDRESS: PR P R7Y TAX # <br />o � ��ba A�� `�� �' � 0 (a 3 gG�O U � I �UO �� � � - � <br />�L tor new cortstruction: Short Plat/aubdivision Lot No. (attach cApy Of long legal d@SCflptl0it) <br />VT: , Owner ____ Owner's /�ent _ Conbactor _ Can[ractors Agent ____ Tenant (rnusc prrnwe a rener ar consenc rrom v�a wR,e� �o �� m�+e <br />�TOR (,��/%� !tia-�w � StaEe Lic. #�i(%A' i/ Ci Bus. Lic, ��J� <br />� ��� O �� J�J�} !Ni? - d U D I n . Phone/Email i� �i `a ��11 W �li VQC <br />BlJ INE E GONTACTGC C C� 'T ,.+��-�k�„� �_-- <br />BUIL171NG PERMIT APPLICATION <br />PR�c� oF wor�x <br />Exiat{ng Use of Building , Y�L`'`� �""'" "� -' <br />Proposed Use of Building �fls <br />Building type: .Y Single Family � DuptexrTownhause � Multi-Family _ Commercial <br />T�� oi tojeCt New Addition Remodel �tepair T.I. Sign �5prinkfer Det <br />OESCRI PTION OF WORK (addrtianal space p�ovided on the back) : <br />rv�� v�e � ���--� � 1-��� � �v�:�-e�- <br />�� I <br />CAL PERMIT APPLICATION <br />of ProJec[: _New _�+ddn Altaradon �Repair <br />Show Number f#) of flxtures ____ <br />NC - air handling <br />Forced air syscem: <br />Gas piping <br />Wster heater <br />Gas fireplace <br />Gas rar�e <br />Clothes dryar <br />Ranqe hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigerat'ion <br />Woodstove <br />Ductinq <br />Othar_T�� <br />/SUPPRESS <br />Number of Heads <br />T SOiJRCE: <br />ot Use <br />PLUMBING PERMIT APPLICATION <br />pe oi Project: _New �ddn _Alteration _liepafr <br />Show Number (#) nf 17xtures <br />Cfathes <br />Urinal <br />Drinking Fa <br />Floor drain <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />hereby rtry ehat 1 have reed and examined Ihis applirallon and know ihe same to be We 8nd comecl. AC pl'Oviaians ol laws and ordinances Soveming this type of �+Orte wl9 be cvmp� <br />v.ntli whe e�spocltled herein or nvt. The granOng of w pormrt doee e p�a,mo �o �ve wmorny �o utiolal� or canml Iho DrovldDn o1 any othor stafe or bca� Ixw �apulednp eonslfutllon <br />?het I ulhartred by lh a r of �s prop to parfam tha rk ivrwhkh appGcaSon is made and I mmply with Iha Sta[e CO�tractocs Law 16.27 RGW �d 296.200A WAC. <br />� ��� ��� 7�� <br />OwnerlAuthwlzed Agent SiBnature Oate (Revised 9l2014j <br />