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10/05/2016 wsD 10:3a FAx Fa�t water xeater • �003/005 <br />'������� .... <br />Rnn�� ,�p��.r��►�r�rv <br />BUILDNNG/IVIECWANI�AL/PL,UIV��INC,/SIGN/SPRIN�l�ER/D�MOL.lTI�N <br />CI�Y OF EVERE7T PERMIT SERVICES <br />320Q Cedar 5t,, Everett, WA 98201 425-257�8810 1=qX q�25-257,6857 www.everettwa.orc� <br />TE <br />P�RMIT i� <br />L6GAL for rzew construction: Short Plat/subdlv(alon Lok Pla, (aftacli copy of lohg I�gal de9crlptfon) <br />OWNER L s Phone/��mall � a <br />Addroea � S � CflylState/�Ip v � � � <br />APPLIGAN7: � Owner � Ownor's /{qent Contraetor � Contrqctor's Agant _ Tenant �muei pro��da e �euerorconsenl trom ine owner �o ao wo�k m me aeeee� <br />BUILDING P�RIVIIT AP�LICA7"I�fN <br />5tat� L.ic. # <br />� <br />all <br />��� ����-k �� <br />GONTR6ICT PRIC� OF WOi2K <br />8us. L}c. <br />l� <br />I�xlst�ng Use of Bullding ,_, �� NEAT SOURCE: <br />Proposed Use of � Ges ElectN Other <br />Buliding type ingle F�mily Duplex��ownho Muiti-�emlly � Comm�rcfal � <br />T e o€ ro ect: ew Addltlan Remadel e al `f,l. Si n S rinkfer Demotlffon , Chan e oF Use <br />DESCRIPTION O� WORK (�ddlflon�! spac� provlded on the back) : <br />� <br />���-� �r 1 � e_�._ ,_-�il ,�—fr�`C, �. <br />� , � <br />MECHA�IIC4l, PERMIT APPLiG4T1 <br />fype of Project: _,Naw _�,ddn �q� far�f�an �Rapair <br />Shvw Nut»ber (#1 of flxtura4 / <br />SPRI <br />A/C -- alr f <br />Forced alr <br />�a_—s-.Pl�lnc <br />,Waier hea <br />Oth��m <br />/SUPP <br />—` <br />Numhar n <br />un <br />ON SYSTEM <br />PLUMBINO PERIIIfIT APPLICqT10N <br />of ProJecE: �New _�1ddn _�fteratlon �Repalr <br />5how Number (#) of fActur�s <br />Tollet <br />�athtub <br />�avatory (wash baeln <br />Shower � <br />Kftchen slhk & is oe <br />bishwaeher <br />Clothes w�sher <br />Water heafar <br />Sink (aervlcelbar/mo� <br />E3ackflow preventer (Ir <br />Urinal � � • <br />nrinking Fountaln <br />Floor draln <br />Grease•'tra <br />Roof drains <br />Medlcel Gae <br />Other: <br />Other, <br />I h�reby qeiTlfylnal 1 hsve r�ad and 'examinsd thla applbatlon and know the emme ko be �rue end �orrovt. A{I prOVlslona oP law6 and ordlnanoae governing Ih18 type oF work wlll bs comp <br />wlth wnelher apaclfiea her��n or nq�. The 8ren�ln� oF a permq tloea not prgyume ta gl�e 8uGlori�y �a vblate or odncel tho provlglon of any other e�ele or l0oal law reguleting aonslrur,llOn <br />rhet I�m 9ulhorized by the owner p/ ��ila prop rty l perform ll�e wark fpr whloh applicetion le m�de and I apmn�y wldi tnq Slate Con�ry�cbra Law 58.27 RGW and �ge.2p0A �NnC. <br />r � <br />own�r/A t r ze gent Slq aCure p�{� <br />(Rovls�d 4/Z016) <br />