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08I27/2015 20:43 <br />#7221 P.001/003 <br />i � <br />PERMIT APPLICATION <br />BUiLDING/M�CHANICAIJPLUMBING/SiGN/SPRINKLER/DEINlOLITiON <br />G17Y OF EVERETT PERMIT SERVlCES <br />3200 Cedar St., Everett, WA 98201 425-257-5810 FAX 425-257-8�57 www.everettwa.org <br />TNC# <br />PERMff <br />� <br />for new consnucpon_ Short PlaUsubdivis�en I�ot No- (attach mpy of long lagal descriptian) <br />� �l7 / � � �� PhonelE-maif ! �s � �� 3 <br />/� � s �v City/a^teta/Zip �'�/ ^ � �Q <br />ANT: _ Owntr � Owne�s Agent �onirdcWr _ Contractors ASent _ Tonant lm�e� w�we a�� wnawu aom mo �� m m wak �n mw asxic�� <br />'�J <br />.� �C,� state uc. # ��'�151'� �L�./� c�ty s�s. ��. # D/G�'Lr <br />� T / % /7 .!/�/f.i'/ �i'/ Ni� L� PhanelEmail 7 � � �/ .C../ V � <br />UILDING PERMiT APPLICATIQN <br />F�dsting Us� of Building _ J d—�" _ <br />Proposed Use of Buildinq �,�'� <br />Buiiding type: �le Fsmily _ Duplex _Townhouse <br />PhonB/E�riail ��✓ �' J � ^ �'�'� <br />CONTRACT PR10E OF WO OOG ^ <br />��r souRc�: <br />Gas 4EiactftiC., oMler <br />Multi-Famiiy _ Commercia4 <br />T_I. 5ian Scrinkler Demolitiori Chanae ot Use <br />DESCRIPTION OF WORK (additiona! space provided on tite hack} : <br />� c� � �� �� ��� �' ��� <br />MECFIANICAL PERMIT APPLICATtON <br />of Project_ "` NeW �Adcln _�►kerotian _Repatr <br />SRow Number Pf tlxfurns <br />A/C – sir handling units <br />Forced air svstems <br />Water heat <br />�' Gas firePla� <br />Gas ran <br />Clothe� C <br />Ran e hoa <br />�x}iaust far <br />Heat um <br />llnit Iteeter <br />Boiler <br />Refi eratic <br />Wpodstove <br />Ruc6n <br />Other <br />SPRiNKLER / SUPPF <br />Number of I <br />PLUM�lNli PERMIT APPLICATION <br />Of P�OjdG� _New _,Addn _Allfration �epair <br />SHoW NumLor It�l d 1Txtiues <br />Kitchen <br />ivledical Gas <br />�ther <br />i hereny cer0(y that I have read w�d orominad U5c appAcaliat and {cno,N u�e asme co pe ove and correcL Atl provisions of ln�r; and o�dlnartces govem�� tnic rype of woAc will ba compl <br />wAh wNnlh ectified �eren or noL The yranuny of a permit dovs not prasumm to givd BuNlor3y W vioFa(e or mnaal 1ne provision of any ather :ktte q� I�qt taw la�ulet�g conswcRon <br />That I am by Ihc owntx 4f Ihis praperry tn per(orm tne for whic� �plicalion is mado and ! cOmpiy wdslt qte sl,y�e Contractors I.aw 1 g,27 RCW and 296.204A WAC. <br />o`' � s <br />r/AuttlorE2eG Agent Slgnapuro p$fe (Rvvi3Hd 9�10i5) <br />