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From:Trade-Marx <br />� <br />12066235007 <br />03/�2015 14:36 <br />� �� � <br />#820 P.011/015 <br />PERN�IT APPLICATION <br />BUfLDlNG/MECHANtCAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />ClTY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />ADDRESS: <br />Pe�Tv rax u <br />G �/ /// # �- ( 7i <br />for new construction: Short PlaUsubdivislon�����y /�/,�,�Q Lot No. (attach copy of long legal description) <br />t � „�j �, Phone/E-mail ��.,,� ^ �� s�� � Z <br />� � City/State/Zip � ��� <br />ANT: _ Owner _ Owner's Agent _ Contractor COf1l�8CIOf 5 A90f1( ^ TE�8f1� (must provida a leGer of consent hom the owne� to do work in ihe sVace) <br />ACTOR ,� � State Lic. # �� ity Bus. Lic. # o �y <br />— — �_ . e .� <br />I I ►'V1 �' � H� <br />r�_�sr17i��1��_�� <br />� _J�.%,I� �i:��i i <br />BUILDING PERMiT APPI.ICATiON � CONTI2ACT PRICE OF WORK t `'� <br />Existing Use of Building HEAT SOURCE:/ <br />Proposed Use of Building Gas Electric Other <br />Building type: _ Single Family _ Duplex _Townhouse _ Nlulti-Family _ Commercial <br />Type of project: New Addition Remodel Repair T.i. Siqn Sprinkler Demolition Chanqe of Use <br />DESCRIPTION OF WORK (additional space provided on the trackj: <br />1����-7'�!/�j � �iC,/f�/„� �/ � sC/G�C�— �%/�,��,y.�"��'� /��*f <br />S�'�i�./. .�iG�� ,i.1 ����" �''��-�.' � ���'.�-�- � <br />MECHANICAL PERMIT APPLlCAT10N PLUMBING PERM{T APPLICAT40N <br />Type of Project: _New _Addn _Alte�ation _Repair Type of project: _New _Addn _Alteration Rep ' <br />Show Number # of fxiures Show Number # of tGctures <br />A/C — air handlin units Toilet <br />Forced air s skems Batht <br />G3S plDillq vaMrv fwach haainl <br />Gas <br />Heat I <br />Unit h <br />Boiler <br />Other <br />SP KLER / SUPPRESSION SYS <br />Number of Heads <br />I hereby certify that I have read and examined ' BpQlisaiiep.a now <br />witfi wheiher spec(fied hercin , e grenting of a pe '�ot <br />That 1 am authoriz ie owne� of this pr o perform the work f <br />Sf10WG'f <br />Kitchen s <br />ng Fountain <br />drain <br />Roof drains <br />Medical Gas <br />Other: <br />Ihe same to be true and correcl. All prpvisions of laws and ordinances goveming this type of work will be compl <br />presume fo give autharity to violate or cancel the provision of any other state or local law regula[ing construction <br />or wh'�i applicatwryis made and I comply wRh the State Contraciors Law 18.27 RCW and 296.200A WAC. <br />�� <br />� (Revised 9/2014) <br />v <br />G�� <br />