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ii/p2/2p15 MON 14:06 FAx Fast water xeater �403/003 <br />.......... .......... .... ._ . <br />.._..:.-----•--�--�---.._,_.... __.... <br />...- --._..__ .-----...--� -� -.--- -�- .._.._.__.... ...... <br />. - .._.._..._ _ ........_._............. ....._ ... <br />�ERIV�IT APPLICATIC� � � �� b <br />BUILDING/MECHANICAL/PLUMBINC/SIGNlSPRINKLER/D�,MO�I�TION <br />CITY OF EVERE7T PERM17 SERVICES <br />3200 CQdar St., Ev�rett, WA 98201 425-257-8610 FAX 425-257-8�57 www.everettwa.org <br />SI�'� ADDa�S$ <br />PR PERTY TAl( # <br />w �.� �3os��- �� <br />ILEGAL for new conslructlon' Snvrf Plet/subdlvlslon Lot No, (attecn COpy of Iong legal descrlptlpn) <br />OWNER `� Phona/E-mall %� D 'L � Z <br />Address Z —t� - ��j Clry/S[atelZlp i �� <br />APPLICAN7: _ Ownar „ Owner's q�ont Gonlractor _ Contraclor�3 AgBl1f _ Tg�p�t (muel Drovltle e leltarefaanoon� Irom I�e owner lo Ao work In Ihn sppoe� <br />CONTRACTOR � �� � State L(c. # VIJIJJ I-" g�Clty Bus. �ic, # <br />Address �� � IV �I� `P'�VUw S�.-• � U �� /� <br />� ' PhvnalEmail �prirj (t? 3(���'i (�i✓yVl r�f-S�Q.�,T��f't� <br />BUII.DIN�i PERMIT 4PPL,�CATION <br />� �l K� LE. <br />PRICE OF WORK <br />I�xisting Use of Bullding 11�Ai SOURCE: <br />Proposed lJse of Building Oas El�etrlc Okher <br />Building type: _ 51n�1e Family � Duplex _Townh Multl-Famil _„_ Comm�rclal <br />T� of ro�ect: New Addition Remod FZe air T.I. Si n 5 rfnkler Demolitivn Chan e of Use <br />DE8CRIPTION OF WORK (edriltlon�l spece provlded on eck) : <br />�,�.m �� r� 1 �� C.u_ _ C�-S �I-�r � o�— <br />� <br />MECHANICAL PERNII�T ,APPLICATION PLIIMBINC� PERMIT APPLICATION <br />Typa oF pro�ect: _New �4ddn _Alteratfon Repalr Typo of 1'roject: _Mew _/�ddn <br />�Iteratlon �Repalr <br />Show Numb�r ol'flxfures SI►aW Number � ornXru�es <br />A/C — alr handlln un;ts Tollet <br />Forced alr svstems n.,.��,.� <br />Gas g�p <br />Water h <br />Gae fire <br />Gas ran <br />Glothes <br />Ran(�e F <br />Exhaust <br />Weat pu <br />Unit hea <br />Boller <br />Retri er� <br />WoodsEc <br />� Other <br />SPRINKI.ER / SUPPRESSION S'Y$TEM <br />Number of Heads <br />Shower <br />Kltchen sink <br />Dlehwasher <br />Clothea was <br />Sink <br />Urinal <br />Drinkl <br />Floor <br />Medlcal Gas <br />Other: <br />Other: <br />� <br />I herpby cartlfy lhe{ I h�ve reed tlnd examinod thla appll�al�on �nd knoW tho eam0 to b9 IYU� and corract. qll provl8lohs of lawe end ordlnanGe6 gaVeming lhle typo q(wp�k wll! ba comp <br />wltit whether epeclfl�a hergln or not, The gronung Of A p�rmll doea not preeume to glve authorlry ro vlolete or aanCel tha provlelon Of atly 011+or sFa6e or locel lew rOgUlq�(ne apnstrucllan <br />Thel f em eulhor�ZaQ by Ihe oWner of thla propahy lo partorm Ihe work Cor wnlCht apvllcaElon le maOB 61nc1 I�mply wlth the 3tele Contratlors Lew 18,27 RCW and Z86,200A WAC, <br />����� <br />O erlAuthorizad Agenf 3lgnaturo pate (Revlsed A/2093) <br />