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10!`2612015 13:07 12062486018 SEARS PAGE 02/03 <br />� � <br />PERMIT APPLICATiOhI <br />BUILDINGlIV�ECHANlCAL/PLUMBING/S�GN/SPRlNKLER/D��IIIOLITION <br />ClTI( OF �VERETT' P�RMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257�8810 FAX 42�-257-8857 www,euerettwa.org <br />� �� <br />=GAL for new construetlon, Short Ptall�ubdivislon I.ot No, (attach copy of long legel deacription) <br />WNER , " Phon2/E-mail �`[ � �� <br />9aress - city/st�terzip <br />PPLICANT: _,._, Owner _ Ownet'b Ag�rtt ontrgCtor _ COf1MaCt0�'S AgCnt „_ Tenent �mu�i provlde a leller of conanm from me awner oo do work In the apnce) <br />ONTRACTOR A S Y�O� DI�QL�iV�lL 5tate Lic, #i��Li�.(,Stt 1��� City Bus. Llc. # <br />Addreeg.:�� � l�l�"�" S`�l�t �p 10 Ph�nelEmall �� ` T� � <br />TENANT 6U51NE !NE CONTACT FOR PERMIT <br />l-_4i. �� � I�cx��.►� ��.�.o �-b�m�e pfo . <br />Phonp/E�rlldfl <br />�UILDIN� PERM1'�' ,APPLiCAT10N C�NTRAGT PRICE 4F WORK <br />Existing U96 of Building HEA7' SOURCE' . <br />Proposed Use of Building Gas Eleatric Otnar <br />Building type: g e Family ,T Duplax,Towf�house _ Multi-Family _ Commerclaf <br />Type of proiect' New Addition Remodel Repalr T.L Siqr1 Sprinkler Derllolitlan Chanqe of Use <br />1�ESCRIPilO WORK (additionAl space Arovlded an tIT9 b�CJ() ; <br />� <br />MECWANICAL PERMIT AP�'LICATION PLUMk31N� PERMIT aPPL1CATl0� <br />TypB of ProJect: _N6w �4dQn _Alteratlon _Repelr Type of ProJect: _New �Addn ,Alta�atlon _Repalr <br />Shpw Numher of flxtures Show Nu»]b9Y 0/l7xttires <br />A/C — air handlin units Toil�� <br />Forced air sy9tems Batfltub __ _ <br />Gas range_ <br />Clothes dryer <br />R3ng� hoad <br />Exhaustfan <br />Heat.pump <br />UNt heater <br />80iIQr <br />Refrigeration <br />Woodstove <br />Ducting <br />Other <br />R l SUPP�iESS[ON <br />KlCchen sink & [ <br />Dishwashor <br />Clothes w�sher <br />Wate� he9tgr <br />Sink (servicelb� <br />Backflow preve� <br />urinal <br />Drinking Founta <br />FlOor draln <br />Grease tfap <br />Roaf dralns <br />Medlcaf Gas <br />Other: <br />I hereby cerllfy ihM I hsve reed and ox�minc lhla cat4 nnd kn e same to bo h,n,r. and correct. All aro�lglons oi lawe and ordln�nces goveming thla iypc of werk wnl be comp. <br />wlm wnatner spvdfled � nv o n ef pe not ro me to plve Author�ty bo violate or cenc•+l tho provlsron or any other stole or �ocal law repul��ing construeuon <br />L}�nE+am�aatf ner o p y to �4erto e rk r Icn pplicell Is m�Atle ntl�o oNg wlth the State Contrectora Law 1 e.z7 RCw and 280.2oon WAC. <br />.r-_.._ ��j %1S <br />� � <br />Qf6tncr/AuthorizBtl A � t te (Ravi38d 412076) <br />