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�1u1,30. 2014 10;46AM EVERGREEN STATE HEAT & AC No,1786 P, 1 <br />. � � � <br />PERMIT APPLIC,A,TION <br />BUII�AING/MECHANICAL/PLUMB[NG/S-1GN/SPRINKLER/DE11lIOL�TION <br />CITY O� EVERETT PERMIT $EfiVfGES <br />3200 Cedar St,, Evereft, WA 98201 - 425-257-8810 -- �AX �25-257-8867 -- www.everetiwa.ory <br />APPL[CATIOt�lS ARE ACC�p7�p �t20M 8 AM TO 4 F'M <br />TE ADDRESS: �„ A PROPERTY TAX ti PEi�MI.T # <br />�.)— i.� i r� �..J� Fc.�r_� vu <br />LEGAL for new conslructfon: Short plet/subdivi9ion <br />OWN�R �ClNr� { ✓� `� f�� G� �CZ(�l 1/ <br />Address �j —� 1rj I('� c�� j�-� 1t O C.eJ. <br />CO N TRACTOR (� (,1 �(7_�p I�'k���l ���f}� �'�-. I'�L� <br />4ddress � ( w ��} G( � � <br />T NAi�lT BUSINES3 NAM� <br />I_ I /l, I�-( U �- i; � <br />Lot No. (allach copy of long legal descrlpllon) <br />Phone/�-mail( 4Z,�) �� �� — 3� I Z• <br />Gily/Slale/zlp �(� �–� � Z Q <br />� � I Lic. # L.(/L ,� �� <br />PhoneJErnaII�LlnC1 �"l �'7 r.2 i i �/ . <br />Ct`1 �vt'l�C� (�%�i `L i 2 � �� / � - <br />BUII.DING PERIUIIT APPLICA'1`lON C�NTRACT Pk[G� p� WORK ,� <br />Exlsling Use oF Suilding H�AT SOURCE; <br />Proposeci Use of �uilding Gas Eleclr�c� p�har <br />guilding type: _ Sin91e Famlly _ Duplex _Townhouse _ MuIU-Famlly _ Commerciaf � <br />7ype of proJect; _ New _ Addfllon _ Remodel _ Repalr _, T.1. _ 51gn _Spri�kler `Demolfllon Change of Use <br />Descriplion of Work (add/ nalspr�ce provfded on the 6ack): - • <br />1�=�-� ��5 � � .�a ��t- �-�- � �.o�l.: (�c,4�f(�5'S H � r �c � ��� <br />Have you started work�ng without a permlt� Y�S �,IYO <br />MECHANIGAL PERMIT APPLICATION <br />Type oF ProJecf; �NBw�Addn _Alteraflon �Repalr <br />5how Numlier (tl) of f/x(ures <br />A/C — air handling unlis <br />Forced elr systems <br />Gas pfping <br />Water hea�er <br />Gas fireplace <br />Gas ran4e . <br />Exhaust far <br />Heat pump <br />Unit healer <br />Boiler <br />}�efrigerallc <br />WoodsFove <br />� Olher <br />SPRI[�FCLER / SUPPRESSION SYSTEM <br />PLUM�ING P�R1VllT APPLICAT10�1 <br />Type of Projecl: _Kew �Adc3n _Attereflon _Ropatr . <br />Sho�s+Number(#) offlxlures <br />f<ifchen slnk � <br />blshwasher <br />Clolhes washe <br />Water heater <br />Sink (servlcel� <br />rease <br />Medlcal Gas <br />Olhe�� <br />� I Nurnber of Heads � � � Olher• <br />I hereby cartify lhaL I have resd end examined thfs appllcallon and knowlhe same to be [rue and correct. All provisions of laWs and ardinancee governing <br />thls lype of work wjll be complled vrllh whe[her speclfled hereln or nol, The granling oF a, permft does not preeume lo gfve aUlPlorily lo vlolale Of CHncel <br />lhe provlsio of any olhar rlocel I�w regulaling cvns[ruclfon or (he performance of conslrucllon. Thal I am Hulhodzed by ihp owner of fhls propar(y <br />lo pari r ha wnrk (o Ich G�fon la maiie and i comp(y wilh Ihe S(ale Conlraclors Lsw.10,27 ftCW end 286.200 WAC <br />Owner/Aufhorizad nt Slgnature 'Da a <br />� (Revlsed 2/20i9J <br />