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Aug 22 2016 01;42PM Washington Water Heaters 8663757454 <br />� <br />pa�1 <br />PERMIT APPL1CATlON <br />BUI�DIN 11AECHANICA PLUMBtNG/S1GNfSPRINKLER/DEIVIOLITtON <br />CiTY OF EVERETT PERMiT SERVICES � <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvuw.everettwa.org ' <br />aaoREss: <br />.\ l a �l4'Y�'� <br />TA% �l <br />� <br />for new construction' Short Piatlsubdivisicn lot No. (a2tacH copy of long iegal description) <br />D '""�� � SW — �Cityl5�YelZip�,ve�i"��V� - 1g�2�� <br />� Owner _ Owner's Agent _____ Conlracior _ Coniractor's Agent _ Tenant cm�st Pro� a Fauec a consern rrom a,e wmer w <br />BUILDING PERMIT APPLICATION <br />�LK�J State Lic. #(�l/N- � Ci Bus. Lic_ <br />� � Phone/Email Q� 7p��� Wa' <br />� C�NTA FOR PERAMIT J <br />�� � � �� L � <br />Phone/E-mail � � ' �5 <br />CONFRACT PRICE OF WORK <br />Existing Use aF Building � <br />Prnposed Use af Suilding � l <br />Building type: � Single Family _ Duplex Townhouse � Multi-Family _ Can <br />Type of project New Additian ftemadel _ Repair _ T_I. 5ign _ <br />DESCRIPTI�N OF W�RK (additionai space provided on the back) : <br />��mv� � �-pl�-�'-�- � � c�� <br />MECHANICAL PERMIT APPLICATION <br />pe of Project: ]�New_Addn _Altaration _Repair <br />— air nanaung un <br />:ed air svstems <br />C�BS <br />Heat <br />Woodstove <br />Othe r <br />/ SUPPRESSlON <br />Number of Heads <br />�� <br />er <br />E1 <br />. <br />r,��rw�rii ", / <br />: = = --� <br />�k in ine <br />53� <br />�li`qe�of Use <br />PLUMBING PERMiT APPLICATfON <br />of Project: ��lew _�lddn _}llteratlon _Ropalr <br />Show Number (#1 of f/xtures <br />i Toflet <br />' Cfothes washer <br />Wa1er heater <br />Sink (servicelbarli <br />Backflow preventE <br />Urinaf <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />� Other: <br />I hereby certffy that I have read and axamtned 9�is appl'�cation and krww the same to be We and comad. AO pmvisions of laws and ordinances goveming this rype o! xrork w� ba camp <br />wtn whau�er apecmau croraln or nai.'lTe g u�y ora pem,u n nol prtmvme lo glvo wlhu�ity to vtokal9 eY CaI�COI lh0 p�OYlblon Cfillfy 6tl7Q17lEtR ��18G61 IeW Agt116!!Rg ODI18WdIM <br />at m autharized Dy e onvrter oi this p to perfam e ork for whkh appBcatlon Is made and 1 comply with the State Contractors Law 182T RCW end 296200A WAC. <br />�! � <br />wne /Authorized Agent S nature qate (Revised 9/2014J <br />