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03/23/2016 WED 14: 01 FAX Fast water Heater [ 003/003 <br /> ......... --- .._..... ---...._.. .............. <br /> WERMIT APPL.ICi <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SM <br /> PRIMhCLER�EMOLITIQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvvw.everettwa.org <br /> SITE ADDRESS: cO P b PE lTA PER31 MIT 0-7 <br /> LEGAL for new construction: Short Plat/suhdivlslon Lot No. (attach copy of long legal description) <br /> OWNER ( I I'honelE-mall ���r� p� 0 1 <br /> Addr®ss I V g I S -F— Clty/Stale/Zlpiv <br /> APPLICANT:_Owner _Qwner'9 Agent Contractor Contractor's Agent Tonant(must provide a letter orconaent rtomlho do work In the apace) <br /> CONTRACTOR State Lic.# WW HG. g ECClty Bus. LIC.� <br /> Address j l� I N �> �u�-1 ILL ` o i ( <br /> S ( tnl Phone/Email a5�1v3 ✓VI I-� 5 o Tri <br /> TENANT BUSINESS NAME CONTACT F/OR PI=RMIT <br /> n1—,q <br /> Ot}tea'• <br /> Phone/E-mall {, <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK Ccs' <br /> Fxlsting Use of Building HEAT E: <br /> Proposed UseGas ctrlc Other <br /> Building type: ingte Family Duplex_Townl Multi-Family --_-Commercial <br /> Te of ro eot: aw Addltlon Remod Re P air T.1. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(eddltiona/specs provided on the back): <br /> PAV�-&4 Y�W�a C12— C, wa4br 11-ldmf-4— <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn ,Alteration_Repair Type of Project: ,_New_Addn `Alteration_Repair <br /> Show Nurnbar # of fixtures Show Nurnber U# of fixtures <br /> A/C—air handling units Tuilet <br /> Forced airs stems Bathtub <br /> Gas pipin-q Lav®to wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas ranq@ zDishwasher <br /> Clothes dryarltfla <br /> Ran a hood Water heater <br /> haus an ire "Tvl a bar/mo /etc.) <br /> He m Backflow PTElventer inslde bld <br /> UnlkliRatar Urinal <br /> Iter N Drinking Fountain <br /> efr{ Brat n Floor drain <br /> Woodstove Grease trap <br /> Ducung Roof drains <br /> Other Medical Gas <br /> SPRI LER / SUPPRESSI SYSTEM other: <br /> Number of Heads Other: <br /> I hereby certify lhet I have road and examined this applicallon and know the game l0 be true and correct,All provisions of laws and ordinances governing this type ar Work will be comp <br /> wlIh whether speolllbo herein or not.The gra minp of a permll doe8 not presume to give authority to violate or cannel the provIalon of any other statoor local law regulating conatruetion <br /> Thet I thin authorized by the owner of lis proper to perform the work for aailch application le made and I Comply with the Stele Contractors Law 16.27 RCW and 296.200A WAC. <br /> Cler Authorized Agent hignarura Date (Revised 412095) <br />