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12/09/2015 TUE 10:53 Fax Fast water Heater �pp2/002 <br />- -- -� : -:- -------- ------....- ---. . . . .. <br />. .,..._ ._. ._.,---.....-----...._._._.—.. <br />'�ERMIT APPL�CATI � <br />BU�LnING/MECHANICALIPLUMBING/S�GN/SP�INKLERlDEMOLITION <br />CITY O� EVER�TT PERIIAIT SERVIC�S ��� �g <br />320� Ceclar St., �verett, WA 98201 425-25'T-8810 FAX 425-257-6857 www.everettwa.ory <br />�E AD RES ' <br />�b S �7� �/� �J ��/ 0 � <br />GAL for n�w constructlon: ShoR Platlsubdlvlslon <br />OWNE�i K I(/1� __. F5D I'Vl�t'1Z <br />Addresg � oo �+- � ,� <br />APPLICANT: _ Owner _ Ownor's Agent <br />CONTRACTOR <br />aareas � <br />ENANT B <br />�- <br />Contractor <br />Pb°b�� ��r� c� �Q zo o I;`�i%i i� ��-� <br />�Lvt N�. (ettach copy o£ long legal dascrlptlon) <br />Phone/E-rnall -6 a� I � 3 - I�� <br />Clly/3tatelZlp �v ��/ (�� �(�a� � <br />i'.ontfeCfof'S Agenf _ Ton�rlt (muel Drovltle a leuar atconevnl from 1he owner to do work In Ine epace) <br />State Lic. # <br />� <br />w N�`-I g�Ci�v Bus. �i�. <br />I'hone/Emall �f�� (� <br />�BUILDING PERMIT APPLICATIO� CONTRACT PRICE OF WORK <br />Exlsting Use of Bullding <br />Proposed Use of Bullding �-S <br />Building type: �ingle Famlly _ Duplex _7ownhous Multi-�ami Commercla <br />T e of ro ect: New Addltlon Remodel f�e afr T.I. Si n S rinkle <br />DESCRIPTION OF WOI�K (additlonal sp�ae provldad on the bacl� : <br />�^�i�o � t� �(� C�Q_._ � l.- � <br />� <br />MECHANICAL PERMIT APPLICA' <br />Type of PraJect: _New _Addn ��►Iteratlon _Rapatr <br />5how Number # of flxturae <br />A/C — elr handlinq units <br />Foreed Alr gystems "�� <br />r <br />Other <br />RINKLER I SVPPRESSION <br />� <br />oas <br />�`��(J%�►'VI !'f'���G.� <br />Ot�f f.o' . <br />C� <br />1 5-�I <br />T SOURCE: <br />-leclrlc Othvr <br />tion___.Chanqe of Uae <br />1�.---I-e�r �a��-. <br />Pf.I,IMBINt3 PERMIT 4,PPLICATION <br />oP pr aat: _New �A1ddn _Alteratlon _Repalr <br />Show Nun�ber of Ilxturas <br />Toilet <br />bathtub <br />Lavato wash besln <br />Shower <br />tchen slnk � di sal <br />DI waeher <br />Clolh w er <br />Water ter <br />Sin erv /barlmo /etc. <br />ckflow re nter Inslde bld <br />rinal <br />Drinkin Fountain <br />Floor draln <br />Grease tra <br />Rvof dralns <br />Medlcal Gas <br />Oihor: <br />I hereby cartlfy Ihpt I heVe rmad and examinea lhl9 ttppllcallon ehd know the esme lo b9 lrue and coneCt. All proVlslohs oF lawe end ofdlnances qoverhing lhle type oFwork wlll �e c;omp <br />W�th whelhe� epBGnOd 11erem or no�. The grgnUno of a permll doae no{ preBUR10 to glve eulhorily �o vlolqte ar o�ncel the provlalon Of OC�y Othor atate or lacel law regu�aqng GonSUucllon <br />Tha� I�m authorfz�d by the own r af Ihfa properly Io perform ihe Work far w�yoh eppllcallon le mmd� and I compfy wlth iha g�le Coniraotors Law 18.27 RCW and 296.200A WAC, <br />i � <br />Owner Autharized Ae@nt Slg ura Dale (Revised 4/2093J <br />