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12/90/2015 wED 12:29 FAx Fast water Heater f�003/00� ' <br />_ ._....... . ... . . .,:.:.-----.....----... ...... . .. .--- ...... ........ .._... _.. . _...... .. ;... <br />PER.MIT APPLICATI <br />BUILDING/MECI�ANICALIPLUIN�BING/S(GN/SPRINKL�R,/pEMOLITION <br />GITY OF EVERETT P�RMIT SERVICES ���j� � <br />3200 Cedar St., L`-verett, WA 98201 425-257-8810 FAX 425-257-8857 www,everettwa.org <br />SITE ADDRESS: <br />�Ig2b`1� � s�nu i �i <br />� <br />,1��' <br />LE(iAL for new congtrucllon: Short Plet/subdlvlslon Lot No. (attach copy of lony legal descrlpqon) <br />OWN�R S 5 PhonelE-m�ll ��S '/ w� �5'"I '7 <br />Address �� �' � , Gily/State/Zlp �Q� �/{�� � $� <br />APPLICANT: � Owner _ pwnere Agent Contractor _ Cantractar�9 f\CJ6C1� _ T9fl9f1f (musl provlda a lettar of aaneenl lrom Ihe ownerla Oo work fn Ihe npece) <br />ON'tRACTOR <br />�es6 ��� �s � r�.��-� .P�U��t s �J� <br />Stala <br />� �D ( I <br />r�, Phone/Emall ��� (�� <br />, <br />�NTACT FOR PERMIT <br />�"f ' '1 1� li� �� <br />I BUILDING PERMIT APPUCATION CONTRA.CT PRIC� OF WORK <br />Exlsling Use of Building �,Q�S <br />I�roposed Use of Bullding -� <br />Bullding fype= _ Single Famil �Duplex Townho MuItE,Famlly � Commercia <br />T e of ro ect: New Addltion Remode Re air T.I. Si n S rink�E <br />DESCRIPTION OF WORK (edtllt(vnal spece provlded vn the eck) : <br />��/V v �a" �f"� �J � l � �- � <br />r � <br />MECMANICAL PERM�'1' APPLICATION <br />Type of ProJecE: _New _Addn _qlteratlon _Repalr <br />Show Number # of flxture8 <br />A/C — �Ir hendllnq units <br />— �— Forced afr svstems <br />W�E�r ha�te <br />Gas flroplac <br />Gae range <br />Clothea drye <br />Range hoad <br />�xhaust fan <br />Heat Pump <br />Unit heat�r <br />Boiler <br />Other <br />SPRINKL�R I SUppRESS10N S'YSTEM <br />ber of Heads <br />Hus. Lic. <br />rwt �-�S �+� <br />c� � , <br />'� CY <br />RCE: <br />O[her� <br />Chanoe of Use <br />cr�G�l-e�- I�,��,�, " f <br />PLUME�iNG PERMIT APP�ICATIO <br />Projsct: _New TAddr► ,_Alt�rallon _Ropalr <br />Show Number �D pf Nxtures <br />Tailet <br />Bathtub <br />Lavato wash basin <br />hower <br />hen sink & d osal <br />Dish sher <br />Cloihes er <br />Water ata <br />Sln service/ba o /etc. <br />kflow nreventer side bidnl <br />Gt'ease trap <br />Roof clralns <br />Medical Gas <br />Other: <br />I hereby cerll(y �i�A� I AAve .et�d and exeminad lhlg appllClltfoh and knvW lho eame tq bB l�U6 and correct, All provlslona of IGWS ahd ordlne�ncea govamfng (hia ryp9 of Wct�k WIII b� comp <br />wl�h wnethor apmaiPetl Itorein or not. Yha gra�wng of a permH doeo not praeume to qlvD m�dhorlly lo vlolete or cenGBl Ih0 prOvlslo� oF eny olher etate or IpCa� ��W fngulqllhg construcflon <br />r�el I dm �uthorized by tha owner oi thls prvpelly lo perform Ihe work for w1ilCh �pAqaqlloh Is made end I comply WIlh lhe Slalv ContracLoro �ew 10.27 RCW and 290,200A WAC. <br />� <br />I� b <br />OwnerlAuthorizad Ag�nt na vre Dete (Rvvlsed 4/2096J <br />