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Sep 12 2016 10:52AM Washington Water Heaters 8663757454 <br />• <br />page 1 <br />• <br />PERMIT AP ICATION � <br />BUlLDING/MECHANlCAL PLUMBlIVGI IGN/SPRINKLER/DEMO�ITION <br />CITY OF' EVERETT PERMIT SERVICES • <br />3200 Cedar St., Everett, WA 9820'E 425-257-8810 FAX a25-25i-8657 www.everettvva.org � <br />� <br />�L for new consirudion; Short PlaVsubdivisi <br />ER �r-� v P� 'C�,�� <br />ress <br />_ Owner � Owner's qgent _ Contractor <br />l: � i <br />PROAERTY TAX ti <br />No. (attach copy pf long legal desaiption) <br />�"� i <br />Phone/E-mail ZG, � �/ � . �� <br />City/State/Zip �,� <br />ContractoPs Aqent , Te7iant {mu�c provlde s ietter a ca„ens Mxn u„ o,w,,, to ao „a,x p, �q,�� <br />� State Lic. # I,f1/4- <br />�/� c� s�s. u�. �e d �3 <br />� o �_ . <br />O ,-- ?Phone/Email (,� _7i--a5� jiUQd(ff.C�I�QMC� <br />cJ r�C C C'�f � � <br />Phone/�-maii � Q ` ' �` <br />BUMLDING PERMIT APPLlCATION C�NTRACT PRICE O� WORK <br />Existing Use of Builciing r1 - <br />H�i <br />Proposed Us af uilding <br />Gas EF <br />Buifding type: ingle Family _ Duplex Townhouse _ M�iti-Family _ Commercial <br />T of r'ect: New Addition itemodel Re air T.I. Si n S rinkler DetnaEitic <br />DESCRIPTION OF WORK(edd��iona►spaceprovidedontheback�: <br />Change of Use <br />P�. n�� v� ����cc. �-e 1-���i � �va,�-�- h���� �s <br />� <br />MECHANICAL PERMIT QPPLICATtON <br />of ProJ6ct: `Nnw�qdyn �Altaratian �Rgpafr <br />Show Number (#J ot flxtures <br />Forced air SY <br />Gas pipinq <br />Water heater <br />—�_ <br />Gas fireolace <br />Clothes <br />' Oiher <br />SPR►NKLER ! SUPPRE <br />i ��_� <br />— Number of Ne <br />PLUMBI <br />Type of Project: klVc <br />G PERMIT APPl:ICATION <br />__J4ddn Altoration _Ropai� <br />m6er (#) o(Iixtunas <br />Kitchen sink & c <br />Disf�washer <br />Clothes washer <br />Water heater <br />Sink service/ba <br />' BackHow prever <br />Urinal <br />— ' Drinkin Founta <br />Floor drain <br />• Grease ira <br />Roof drains <br />Medical Gas <br />. Other. <br />I ha�eby ceqi(y ihat I have read anA eYamined this applicalion and know the sarpa 10 be We and torced. Atl provlaions of laws and otdinances povaming �his type of work w;l! b� compi <br />_SAA�whether speciflad hersin or not. Tt�e grantinp Of a permtt tloes not prasume to give authonly to vlalete or canccl the prov�slon of any other state �r local law fegulatlnp epnstrLction <br />T1�dl I a aulhoriznd by the ownar of Ihie perty ta pe7o Wa woAc torwh{ch applicalion is made 8nd I aomA�Y �+'�� �he Slala Conlratlors Law 18.27 RCW and 288.2DOA WAC. <br />�-/2�� <br />er uthorized Ageirt Signature Date <br />(Re vised 9i2014) <br />