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Nov 13 14 02:01 p Washington Water Heaters <br />4257461563 p .1 <br />PERMIT APPLICATION � <br />BUILDINGIMEGHANICAL�P�.UMBING�`S[GN/SPRlNKL�RID��I�fOLITlOiV <br />CITY O� EVERETT PERMfT SERVICES <br />3200 Cedar Si, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.arg � <br />APPLICATIONS ARE ACCEP�D FROM 8 AM i'O 4 PArt <br />.4�DRESS: I�%V �� I1 Z�� � I. ����� pVp�O x�I�C1.� �v�G�� PE/Ii�17`�1II �i��-1 � <br />for new conslrucfion: Short Plat/subdivision Lot No. <br />1 �. <br />� -i � i• `? I� I, � PhonelE-rnail �� <br />,- .�-}� <br />i i i `�` '� � �� � � 1-i- � �^—`� Z City/State2ip ��J C <br />(attach copy of long legal desuiption) <br />L �"��> i <br />�`f J� �I � �� � ��i <br />APPLICANT: � OWf1eI _ Owr18rS Agerlt � GOf1V3CI0C _ GOflU3Ci0rS A98f1C _ TE71211t (nust provido a Icpuroi consont frorn Ihe ox�er W do aork intlie spa�) <br />CON7RACTOR �,f��-C7 f lEl�; JZ%?`�' !Gi=% .n �;��-I r: � 5 L& I Lic. # L�'i1-.ji-t i��' %�� ��� %'f' COE Bus. Lic. #(/ �,7 � <br />0.ddress f �(,�(�! �� � i ;.'��rl '.) �U,.;j 1 � �`[ �[� �i-fy � Gt,(� �i,�c!€. %I �/?�i � PhonelEmail ��,�� -`-� ��'-� J('I„�^i�i� i! Gi�l�GL�t''i'����i c� <br />F�NANT BUSINESS NANlE CaNTACT FOR PERMIT �=�Gc -; c'��: <br />/� <br />�GL�'L..�l � �Li'ICt i.i <br />PhoneJE-mail S,Li2' U�. l� .�j L��1 � r� �LC.L-f�T'{i" <br />�UfLbtNG PERMtT APPUCATIO�I CpNTRACT PR10E OF WORK � EK% �� <br />Existing IJse af Building �r� �t I� � HEAT SOURCE: <br />Proposed Use of Building �1 � - Gas Electric� Other <br />Building type: , Single Family _ Duplex _Townhouse , MuIH-Family _ Commercial ,�- �� .���l,�Y}�Znt <br />Type of project: lJew _Addition _ Remodel Repair T_I. Sign Sprinkfer Demolltion Change of Use <br />DESCRIPT[ON �F WORK (addit�onalspace provided on the back): <br />! , I ' ' %1 I �j�' '/ A 'n �., : / ' - � f/ i'� �i :l�. <br />� i� ,7 <br />) <br />_ ;' � I C.�-��'1 t;� �, , �.;�� _.,-- �. f� � .�J ;� , � ���C.�t ;�., � ;�� C� c <br />�, . <br />MECNANICAL PERMIT APPLiCATION <br />of Project: _I�ew_Addn _Aitera[ion _Repair <br />Show Number (#) of hxtures <br />AIC — air handling units <br />Forced air systems <br />Gas oi�ina <br />Gas fire�lace <br />Gas range <br />C1oLhes drver <br />F�hatast <br />heater <br />�r <br />RI[�KlER 1 SUPPRESSION <br />Number of Heads <br />PLUMBING PERMIT APPLICATiON <br />of Project _New _AdHn ^Alteration _Repair <br />Show Numbe► (�f) of fxtures <br />. Toilet <br />8athtub <br />5nower <br />IGtchen sink & c <br />Dishwasher <br />Clothes washer <br />Water heater <br />Ur4nal <br />Floor drain <br />RooF drains <br />Medical Gas <br />Other. <br />Other. <br />I heroey certify thnt I hove ruad and examined this applicaUon and know the same to be Inte and rArrect. AU piavislons of laws and ortlinanCes goueming lh�s typa ¢f woTk will be complied <br />wilh whether spedfled herein or not. 17ie granfing of a permft daes nol presume to g�ve aulhority to vioFate or canccl Ihe provision of any olher state or loca! law regulaGng conswUion <br />Tha7 1 am a__ d by Ihep�vnerof i perty to p o Uia work forwAiUi appFcation is mado and I complywith ihe Slate ConUactors La�,v 18.27 RCW antl 29620DA Wf�C. <br />% �� �� 7 , ``��;'�:,:,�. ,+.'l '" � ����:'�'��.`� .C,- <br />� L � .. �i ;�. , 'i�.� �.. ;�-c � <br />`./ " �' ' � . � '/� �%� ' ," / . �/ t. <br />OwnerlAuthorized AgCnt Signature Date '� (,'�7�1 ����� �L'1 ''�� ���" �' <br />� (Revised Cv2012) <br />