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07/z3/20�5 TxU 9:a9 Fax <br />Fa�t water Heater <br />� <br />� <br />1�3�7�1 <br />f�J002/005 <br />P�I�MIT APPLrCATION <br />BUILDING/MECHANICAL/PLUMB[NGISIGN/SPRINKLER/DEMOLITI4N <br />C1TY OF EVERETT P�RMIT SERViCCS <br />3200 Cedar St., Everett, WA 98201 425-257-8810 F'AX 425-257-8857 www.everettwa.org <br />APPLICATIONS A(i� AGCCPTED FROM 8 AM Tp 4 I'lU( <br />SITEADDRE3S; PROPERTYTAx P IT <br />r�� �q � S� _ o 00 � t�oo o ��' ����7 -� � <br />LEOAL lor n6w Constructl0n: Shor} PlaUeubdiviglpn �01 tvo. (aUach oopy of long iegai aosariplion) <br />Phone/E-msll �� <br />CIty/51Bt9lZip �, � <br />PLICANT: _ Owner Ownar's Ag�nt COfllfaC�o� GDntl�G�O(�S A�JBfII _ T9/1af1( (mual prorldo u la��af of COt18Pnl fl0m lhe ovmerla dowark In I�o epacn) <br />NTRACTOR L$ I�lG. #� SCY�i ��I gL COE Bus. Uc. # �` <br />��oe ��7.1715 Nortn c:reek Parkway South, 3'i�C-106 �°thell, WA 98011 .mai� �t�- ��� ��e��-,� <br />+ YL <br />VANTBU31NES8NAME � CON� ACT��� �'j T� ��f'�• _. _� <br />a:l L✓ v� = y � VU�i lU + <br />_ _ `Phono/E-meil' � ��gt��C�—� ���' �� � ��L <br />HrJILDINC PeRMIT APPLiC/�YION <br />PRICE <br />�xi�tin9 Uee of 6uilding ��d-5 IG1�YN41-10..� ____ HEAT 50URCE: <br />Proposed Use of Bui ing Gas Efectric Olher� <br />�ullding type: Single Famlly _ buplex _7awnhouse _ Multi-Family ____ Commerciai <br />Type of proJect: _ New _ Addition _ Remodel _ Repair _ T,I. Sign 5prinklar Demolfllon Cttanqe of Use <br />DESCRIPTION OF WORK (addrfione! space provided on the Oack) ; � <br />�'�+-, A/�� (�Oj�� �.�.5 W��-�" �1�� i� �►��r I�C�f�Y� <br />�J <br />MECFIANICAL PERMIT APPLICATION <br />o� ProJvct= _Naw TAddn TaitereUvn TRepulr <br />Show Number (t�l of f/xiures <br />A/C - alr handlinq units <br />Forced air svetems <br />Gas fireP, <br />Gas rang. <br />Clothes d <br />� Other <br />SPRINKLER / SUPPRE <br />, Number of He <br />pLIyMBING P�1�MIT APPLICATION <br />oF ProJecL _New _Addn _Alteraf�on _ii�pi�l� <br />Show Number (#J of f/Xtu�es <br />I T011et <br />Shower <br />Kilchen sink & disp� <br />Dishwasher <br />Clothes washer <br />Water heate� <br />Sink (gervlce/6ar/m <br />Backflow prevpnter <br />Urinal <br />Prinking Founleln <br />Floor drain <br />Grease trap <br />Roof draine <br />Medlcol Gas <br />oth�r: <br />I hare0y CBAify IIIBI I heva mtltl nntl Bk&INlnad lhla eppncaUon end know �ha eame lo be true eno carrecl. All provlaione ol Ir�wx pnd ortlinancas povaminp lhle lype ol wo�k wlli be compllod <br />wi�n whOthe[ epeciflvd hareln er noi, The gr0nifnp of a pormll dooa nol A�ooume lo plve eul�o�ly lo vlolele o� cencal lhm provlalen o1 c��y ot0or slfllo or locef lew repbieling canslruclion <br />Thrt I nm uulhori:ud by the vwner of �his Draoehv io ov�vrm �ha work lor whicn epp�icauon !a mede cnd I wmply wlth Ihe 91a1s Conlractora Lew 10.27 RCW antl 289.200A WnC, <br />`�� ��--- � / <br />�<Su�Iloni6a r�gvn� .a�y�...,u Dela (Revlsed 6/2012) <br />r <br />