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FROM: T0:14252578857 04/23/2015 13:32:39 #161 P.001 /002 <br />� <br />� <br />PERMIT APPLICAi'IQN <br />BUlLDING/MECHANICAL/PLUMBING/SIGN/SPRINKLE�2,ID�MOLITlON <br />CITY OF EVERETT P���t-� <br />3200 Cedar St., Everett, WA 9820t �25-257-881 �AX 425-257-8857 .evereftwa.org <br />fnr nc:w cpngEnir.tion: Snort <br />ER <br />ss <br />_ �er _ Owners Agent <br />R 9 ,�., n � c <br />Phono/E-mall <br />Coniraetor _ Conlractor's Agant <br />�%-' state Lic.a <br />�, � r"�'-" _ e:yii ��. "a %' <br />p <br />� <br />�8ii8Ci1 Ctl� Of �Of18 �PQd) C�PSCfl�ltlqfl� <br />— '� C../ �� <br />� <br />_ Tan�nt �must vioo a kmar ot rnnannt trom tne pvmer tU tl0 v�qik In Ihd epn�:a� <br />] �y f3US. LIC. # <br />PhonelLmad — �' `-" �� <br />)R P�RMI7� � K�/jC51'!�'i . �/1q ,G /�i <br />� 1 <br />----- — <br />BU�LDiNG P�RMIT APPLICATION COi�ITRACT PRICE OF WORK �L�C� <br />Existing Use oi Building . MEAT SOURC�' <br />F'roposed Use of Bullding Gas <br />Building type: ,� Single �amily _m� Dupiex �_ Townhouse � Multi-F�mlly ��ammeCCi�t <br />Tj/p6 of projeCt: New Addition Remodel Repair T_I. Siqn Sorinkl�r ( <br />j%��'u' CR�i�T��i� pF W�RK (additiona! spac� provided on the 6ack)', <br />of Use <br />C �/� <br />� /� // � <br />.1 ii�Gi" ' _ "'_ � �+ � " /�����'yl� <br />l �//C� <br />M�C�IANiCAI� PERMIT APPLICA�'�ON PL�MBING PERMIT APPLICATlON <br />Typo ot ProJoct: �Now �Addn �Alteratlon _,Ropalr Type o1 ProJoct: ,_,�Naw ,_Addn _Afteratlon _Repalr <br />S ow Numb@r of �t�ctures Show Numb�r of flxturos <br />A/C — alr handlin unfts Toitet <br />' Forced air systems Bathtub <br />heater <br />hood <br />t €en <br />INFCLER / $UPPRESSION SYSTEM <br />Number of tieads <br />Kltahen alnk R dis <br />C�ishwasher <br />Glofhes washer <br />W�ter heater <br />Sink (service/bar/: <br />Backflow preventt <br />Urinal <br />Drinking Fountain <br />Flpor ¢rain <br />Gr�ase trap <br />Roof c�rains <br />Medica3 Gas <br />Uiher: <br />I �oroby condy thal 1 have re a and exam�ne nla pqcatfon en0 know li�e esme to be Irue arid r.nrrer.t. NI prti>visinng nf I�wS an�i or�inanr,os povaming thts Type ol vrork wIY De coatip <br />r s�x .iFicd he pr not. T g1 rning e Demlit doea not preaume fo glva eut�o�lfy to vlolale o� canceE the proviaion nf Hrry nlprr x��f�C or �acel �aw rvguladng cona[rucllon <br />hal I em si �l ny � o��er f opaRy poAorm fhu wotk for which aDPlication ia made ena I nomply wttn tne 5tate Conlractnrs t_aw tfl.27 RGW end 2SHi.200A WAC. <br />�. � -�� - � <br />nerlAuthorized A nt3 gnature p�t� • � (/'2�vfSeU4/2Q75) <br />� r'- J �� /�� <br />S- 7S � S � �� l/�' G.�� <br />C��P ��z a i � � � <br />`� �� <br />