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Mar, 1. 2016 1;49PM EVERGREEN STATE HEAT & AC No,6442 P, 1 <br />����o��p��������� <br />���9�����/���V��1���.��1�'I������b��I����/�f�G���f��.��1�����.O�flOO � <br />�l i 1� O� �iOERE�� ��F3�1ll1 i �E�'VEC�� <br />3200 Cedar 5�., �verett, WA �3820'f 426-257-8810 FAX �42�-257-8857 wvvw.everetiwa,org <br />ADbRE5S; <br />, �PROPFfYNTAKl� <br />L��A�. for ne�v construollan, shorY Plaveubdiv[sla �of hfo.� _(attach copy of long IeAaf de�cript�on) <br />QWAI�P. I lZ1i,1J � �.1� � Phone/C•mail `r C—c�J ��� ` 7 �2 ' <br />rese Q.( [� �WI�J��`/5��= ICify/Sta v[elzip �l�i�r�i + �..t�. , -.�i.�� - <br />'LiGASVi• ��vner _ ouf�ers Agent _ ContYactor ^ Confra�to�s Agent _, Tenen[ �musiproYda a ieueroi�on=Enl Rom lh� rn��na� lo da woMln the spaca) <br />��I�aAC fOR <br />�; J� (t �Stata Llc. # <br />0 <br />� 3 r r� <br />Citv Bus. Lfo. # <br />-rFra��Ni �u5,���� ro��v�� _ . ��Z�J Z�� �/�y� <br />K�r� 5A� <br />Phonel6m�i1 � �' <br />��Q����� ���.�0� ���dg��4���J CO[ViRAG7 PRIC� OF UilORK_�G�.,.^_ <br />�xlsiinq Use of BuifdinD H�AT SOURG�: <br />Pra�osed Use of �uildl�g Ges� Electrlc Other <br />Build(nq type: ,� 5inale Famlly �, Duplex �Townhouse _ Multl-Famlly _., Commercla! <br />ly�e of pro ecf: _ fdew Addilion ___. Remodel . Repair_T.I. Slgn _Sprinkler_pemolltlon Change of Usa <br />]7�SCRfP7IONOFWORft(additionalspaceprovldedonthebsck): , ��b n� �,; ���� <br />�/Lf�N� �l,�,f �o�a (S�� �c.lc�r�-�1C(�'. l.Jll�-�I ro r-u <br />il(d���9��l��A� ��F�iS�d� H �9��'f�9���9��l9 <br />pFProjecf: ,_�Iev!_Addn �,Af�eratton_Repalr <br />ShosiNumher(#) oflbcfures <br />� R/C - air handling unifs <br />Forc:eu airs`l• <br />Gas �Iptnp <br />�/Vater heater <br />Gas fireplaca <br />Gas range <br />Clothes dryer <br />Range hooci <br />Exiiaust fan <br />Neat pump <br />Unft heater <br />t3oiler <br />R�frigeration <br />Woodstove <br />��$�i���k� / ��9�'�����r <br />� NumberofH�ads <br />�l���11��6�� ���41l��`� ����:��A�"��I� <br />s o4 Pro]ect: �Vav�_Addn _Alterat�on._,Repalr <br />Shov�Number(#) oP��xlures <br />� � Toile� <br />Bathtub <br />I Lavatori (wash basin) <br />KRchen slnk & disposal <br />Dlshwashe�� <br />ClofMas washer <br />Slnk (servlce/bar! <br />Backflaw prev�ni� <br />Urinal - <br />Dr1nKf��q 1`ountaln <br />Ftoor drain � <br />�oof dr�lns <br />Medfcal Gas <br />01her: <br />Other: <br />f hereby ccfD'ly lhal f hsva resd and exsminad lhfg appfccatlon and kn�W (ha same to be INe and rArrecl, AO proVlslona of faWs snd ordfnanCee govornin4 ��Ig �yAo of Walk will Ue compllB�J <br />willl wholher �peclfiea hareln or not. Tna gran(fng of 8 parmll d�es no! pfesuma {oglva au�horty fo V1olals or eenctl IRa proVislon o� any o(here�s�e or Iocal lsµrreguialfng �nslfuGlon <br />7h�1 f sm AUI ftorjzcd Qy Ihc ovn;ar ci ihls proped orm I�a work foi' whlctl 8ppflcalioil Iz mado �nd 1 cornply t°4�n lhe &talc Cont�sclors Lav� is2� h'CW gnd 2b6.200A 4Vr1C. <br />� ��c� � <br />owner/Authot'izedAgenCSlgn�fure �ale (Revlsed 3/20i3J <br />