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05/li/20i6 wEn 8:37 FAx Fd�t water Hedter �002/pp5 <br />.... <br />�ERnnl1" Q�P�rcAT`��I o�� .._. <br />BU(LDINGlME�HANI�,AL/PLUMBING/SIGN/SPRINKLER/QEMpLI�I�N <br />GITY OF EVERETT PERMIT 5ERVIC�S <br />3200 Cedar St., �vereEt, WA 982Q1 425-2.57-8810 FA?C A�25-257-8857 wvwv.everettwa.org <br />0 <br />for new Constructlon_ Short Platlsubtllvislon <br />�Fi <br />— -L�..r� uv � ►� U�v - <br />PLICANT: _ Owner _ Owner's AgenC <br />�fYTRACTOR ���� InJ �T��I <br />���ss L l� P �1 ,� �� ��� <br />ANT BUSINE NAME <br />O�J� IP����T�.� <br />P ERMIT # <br />0 <br />Lot No. (attaCh Copy of long Isgal deacrlptfon) <br />�S Phonel�-mell � p .� � <br />Cliy/5tate/Zip�v � �� � g 3 <br />Contractor a Contractor's Agent � T6flBflt (m�e! pro�lda e letle�olconaent fram lhe ownei to tlo wa�k In Ihn <br />���I" State Lio. # l/L}� � ��ity Bus. Lic. � <br />S` eT �� l�J -� ( l �hone/Emau �o�, f� 3Lo�T1�-1 /,� rWt i-f-��v -� <br />RUILDING P�RMI'Y' 4PPLICATION <br />� 1� ��V� <br />Phone/E-mafl �,��?��l � <br />�Rice or- wo��t <br />�xletfng Use of Bullding � ,qT SOURC�: <br />17roposed Use of B' � Gss Efectrfc Other <br />Bullding type: Singla Farnl � Duplex�Townhouse � Multl-Family � Commercial <br />T e of ro oct: IVew Addition Remode Re a�r T.I. Si n S rinkl�r Demolition • Chan o of Use <br />DE3CRIpTIQN OF W4RK (addltlonsl spacr3 prov/d�d on the bacic) : <br />���0 � r � �, � S �UG1�' ���". <br />� <br />MECNANIC/�L PERNI�T APPLIG�1T10N <br />Type oP I�rofect: _Naw Tqddn _q�taratlon _RBpalr <br />SP <br />►v�---airnanaun U�II; <br />Forced air s stems <br />Gas 1 i� <br />Water haator <br />Gas flreplace <br />Gas rang� <br />Clothes dryer <br />_Range hood � <br />�xhaustfen <br />Nsat um <br />Uni# heafer <br />Boiler <br />RePri eratlon <br />Woodstove <br />Ductin� <br />4ther <br />RES�SION <br />Numb�r of . <br />PL,UM�ING pERMIT APPLICATION <br />of P ect: _New ___/�ddn _Alter�tlon ____Repalr <br />ShowNumber # oPflxturas <br />. I Toilet <br />hower <br />& <br />Dlsh �sher <br />Clothe asher <br />Wetsr h�a " <br />Slnk servlce !mo , <br />Backfiow event In <br />llrinal � <br />Roof drains <br />Medlcal Gas <br />Other: <br />Olher: <br />Y <br />f hereby cettffy IFI�I I�reaq and examineq �PIE appllaetl0m m�d knoW Ihe eamo ta b� tnio end ��aG All proVlBlons oF lewe anrJ oY4lnohcea governing thla ryp� of Work wlll be GOI1tp <br />wlth whetliav speollied hereln or not. Y'ne granUng of e permq doea not preaum� to glve euln0�11y lo vlolote or eancal the provia�pn or m�y othar et��a or IpCml I� W regulallne construatfon <br />That I grn gutliorized by the pv,�ner of th�g prop�hy to perfol'm the work forwh�Glt �ppllcetlan 1� Mode end I comply wllh tha 9tgtg Co�traotore �aw 7g.Z7 RCW and 286200A wqC. <br />�� I l- I (� <br />Own� uthorEz gene slgnature oeta <br />(Rev/sed 4/2096) <br />