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iV/05/2016 wED 10:9a FAx Fa�t water xeater � �OOa/005 <br />�ERnnr�r a�►��. �� ��C�Co �� <br />ic��r�ru <br />�3UILDINGlM��HANICAL/pLU1V�BiN�/�IGN/SPR�NKLER/DEM�L,I"TION <br />CITY OF �VERET7' PERM17 SERVICES <br />3200 Codar St., Everett, WA 98201 425-267-8810 FAX 4�5-257-8857 www.evereftwa.org <br />SITE ADDRESS: ji� � pRQPERTY TAx � PE M 7# <br />lC/- �� <br />I.EGAL for naw Cof�struct�on: 5hort Plet/eubdlvlsl0h Lot No.� (att2ch capy of long lapal descrlpUon) <br />OWN�R t'� V � .V ��],� <br />phone/��meil -� � <br />Adaress l (S Cfty/State/Zlp �✓� � C) � <br />APPLICANT� � Owner _ OWner's Agent Confractor Contractora Agent �___, TBn�nC (mue� prm�de a�etter of coneent frcm lhe owner to ao wodc In Ihe apece) <br />CONTRAC'�OR � � -� '�� State Lfc. # �/ti� �- � �Clt Bus. Lla # <br />Address �, � • � IV �� ,��/U�,( S' �C--� � D� � ` <br />i/ �/' � Phon�lEmsif o�� U13 h'11�� d� -� <br />BUSIN 5 NAM CONTACT �OR P�RMI'� � �.. � <br />� � %�,h�k l�� <br />PhonelE-rnall " � � <br />BUILDIN6 PERMIT qPPLIG4T10N CONTRACT pRfCE OF WORK °'" <br />�xisting Use of BUflding HEAT SOURCE: <br />Proposed llse of B � <br />Gas Eleclrlc Other <br />E3uildfng type_ � Ingle Famfly Buplex �Townhouse Multl-Famiiy � Commerclal <br />T e of ro'ect: New ,qdditlon t�emodel Re a r T.I. 51 n 5 rink(er Demolition • Chan e oF Use <br />D�SCRIPTION OF WORK (�ddltJonal spacs provlded on t e baclt); <br />, <br />, <br />�.�� � �.� �.� C� S � ��,�.. <br />M�GHAN�C,AL p��tMlY 4PPLIC4TIQN PLUMB�N� PERMIT hPpLICATION <br />Typa of Project: _Naw �Addn �Altera<!on �Repa�� Typa of pruJ�ct: New �Addn Alteratlon _Rapalr <br />5how NumbAr of �lxt�r@g Ow Number o//lxeurgg <br />/UC — alr handl;n units Tollet <br />�orcad alr s stQms Bathfub <br />Gea i In Lavato wash basln <br />Water heater Shower <br />Gos flre lace Itchen sink � di oaal <br />Gae r$n e shwasher <br />Cloth�s dr er CI hes was er <br />Ran e hoocl Wat he er <br />Exhaust fan Slnk lee/bar/mo /etc. <br />Heat um 8ack reventer Inelde bld <br />Unit heafer Urf I <br />Boller ' <br />Refrl eration nkln Fou aln <br />W oodstove loor draln <br />Ductln GresSa �tra <br />Roof dralns <br />O(her Medlcal Cyas <br />SPRIN :TUPPRE5iS10 STEM <br />Other <br />Number of <br />Other: <br />I hereby o9Hlfy thas I I�ave r�ad and eXeminaC t�fs appilcallah and know th9 seme to bo lrue end oartect. All provle�ang df lawa and o1'd�hance9 o4�rhln thla <br />wlth whether speClnad hereln or nol, Tne granting o9 e pe�lt doee not presume �o qlve eulhoNty la vfalq�g or canCol the rovl�(pn oF en omer �� or lacel lawpe oule Inl( rV, �� °omp <br />rh8l � am uthaNz�6 qy the owner of thlg Ar erty lo pA�rm fhe wprk For whlch � qcatlon i P Y 9 B A�slnlcllvn <br />pP e made gntl 1 oomply wltf+ the 91ate Comrecrora l,aW 18,27 RCW ahd 296,200A WAC, <br />Owner/ th e t� ha ur� '�o�ta <br />(ReVlsed 4/2095J <br />