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11/05/2015 THU 11: 03 FAX Feat water Heater 1002/002 <br /> •ERMIT APPLICATIA <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES Lf j Li, <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SJTE ADDRESS' PROPERTYX# PERMIT# <br /> U)01 LO1 i4U (DQV, 7 3'1 ODa (QQ 11(01 - O i l <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER , —� �i"�) Phone/E-mall -CJ ttP 3a- I L(L- (P <br /> Address ( I (,61/ELr `v City/State/Zip ve -"7'"-F-.1 w q -v l <br /> APPLICANT: Owner Owner's Agent Contractor Contractor's Agent Tenant(meet ftrowae a latter atcensont from the swoon is do work in the specs) <br /> CONTRACTOR ' • ST i. ~ef- -I'F4 . State Lip,# - - \./\11,0 '* &.City Bus. Lie.# <br /> /� i <br /> Address i �� lk. 1,e_E . ,,p,K�/U`., C—r .P r ,t f Phone/Emelt JTENANT©U$ 5 NAME �- ( �� �� �'�� F� cr I�S a f S'ft - <br /> CONTACT FORPERMIT0\ ✓. Y1/1 <br /> YA m/ Tom-1E <br /> phone/E-mall 1-f n 0. 1 li E'd l 1r 'v- <br /> - <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK I' -7) (-r'y <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Bl u1c Cies Electric Other <br /> Building type: Single Fam y Duplex_Town . • Multi-Family _Commercial <br /> Typo of project New Addition Remodel V.,_ Repair T.I. Sian Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the hack): <br /> P6 dot r. Ct Co 1-S uw-ur iur_00- <br /> MECHANICAL, PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Project: New_Addn _Alteration Repair Type of Project: New Addn Alteration Repair <br /> Show Number(#)of fixtures _ Show Number(#)of fixtures <br /> A/C-air handlingunits Toilet <br /> Forced air systems Bathtub <br /> Gas piping <br /> Water ester - Lavato wash basin <br /> Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood <br /> Exhaust fan Water heater <br /> Heat pump Sink (service/bar/mop/etc.) <br /> Unit heater j Backflow preventer(inside hldg) <br /> Urinal <br /> Boiler Drinking Fountain_ <br /> Refrigeration Floor drain <br /> - <br /> Woodstove Grease trap <br /> Ducting <br /> Roof drains <br /> Other. _ <br /> Medical Gas _ <br /> SPRINKLER / SUPPRESSION SYSTEM _ Other: <br /> Number of Heads Other: _ <br /> I hereby certify that I have reed end examined this application and know the Same to be true and correct.All provisions of laws and ordinances governing this type of work will be comp <br /> with whether specified herein or not.The granting or a permit doss not presume to give authority to violate or canoe)Tho provision of any other state or local law regulating construction <br /> That I em authorized by the owner of this properly to perform the work for which application Is made and I comply with the State Contractors Lew 1827 RCW end 290 200A WAC. <br /> )\ U L I— H� <br /> Owt r u horized Agan gneture Onto (Revised 4/2015) <br />