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425-252-1666 c.m.heating 12:38:01 11-20-2015 <br />BUILDING/MECHANICALI!��UMBiNG/SIGN/SPRINKLE�DEMOLITION <br />CITY OF EVERETT PERM17 SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-881 D FAX 425-257-8857 www.everettwa.org <br />I T� ADDRESS; � y�� �( fl� N�.� �P/tDPERTY TAX ft <br />�v <br />_GAL far new canstruction: Shor! PlaUsubdivlsion Lol No. (altach copy ot lang legal das�riplfon) <br />WNER `eN L`�' Phone/E-mall 3� � ll( �/ 1�� l U� <br />Idrass �� a� lV��1 V �� Gty/State/Zfp �� �`�� � <br />'PLICANT: ^, O�vnor _, Otivner's Agent � Cantractor _ Cantractar's Apent _ Tenant (mus� pro�ida a iener or c�.e�� rm u,e m«rarao d� «cnc m wa .pa�e; <br />` ��0�15��- <br />)NTRACTOR Q, ( �(, 5tate Lfa #� Clty Bus. Uc. � Q`W U <br />dress r'(� ���'� �� q g�i� PhonelEmall �� �5q j,Q�� <br />:NANT BUSINESS NAME CONTACT FOR PERMtT <br />���;e, �Z5 2/5�� �b��o . <br />P nnrlF-mall�'i1:]�n I P_ l": i�4i�i���J�� .�� <br />Ull.DING PERMIT APPI.ICATiON <br />NTRAOT PR10E OF WORK <br />isting Use of Bu(Iding � <br />�posed Use ol Building <br />ilding type: _ 5ingle Famlly � �uplex _Townhouse � Multi-Family _ Commercfal <br />�e of project' New Addition Remodel Repair T.I. Siqn Sprinkle <br />:5CRIPTION OF WORK (edditianai space provided on the back): <br />�-{-�1� C��S ��� 1�-C�-j �i ��b O�f'%ei� <br />MECHAN[CAL PERMIT APPLICATION <br />�e of ProjecG iNow _Addn p,,,Alteraqon _Rop�tr <br />Show Num6cr M) o/ (Grturus <br />A/C — aIr handlin units <br />Forced alr systems <br />Water he <br />Gas range <br />Clothes dryf <br />Range hooc <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boller <br />Woodstove <br />� Other <br />SPRlNKLER / SUPPRESSION SYSTEM <br />Num6er of Heads <br />H EAT S <br />J Flar <br />lltion Changa <br />PLUMBING PERMIT AE'PL.ICATION <br />pa ot ProJoct: ,_:,New ,_Addn _Altc+retion �Ropatr <br />ShowNumber q) olfisfures <br />! Toilet <br />h basi <br />Kitchen sink & dls <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sfnk (servlce/bar/i <br />BackRow prevent4 <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Roof dralns <br />Medical Gas <br />Other. <br />Other <br />erahy certify that I have read end axaminad Ihln appAcalian and know fha same lo ba lrua and cortecl All provlstana of lawa and ordinancas povarning thie type o( work wiA ba camp: <br />Ih whether apecified harein or not. The granting ol a parmi! doea nol prasume !o give authorfly to viofale or cancot Iha p�vfs3on of any ather slete or locul la•N ragulating conswdion <br />at I am authorized by tha owner of lhis property ta poriomt Iha work forwh(ch app�caAon Is made and I�amply with 1he 5taie Conlractors Law 1B 27 RCW nnd 29s.2oDA WAC. <br />` I 1 �.D � s <br />wnar uthorized Agont gnature Date (Revlsed 9/1014) <br />__ . _ _ <br />_ _ <br />� <br />