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NOV/04/2016/FRI Ol ; 45 PP�7 Greer�� � od Heating FAX No, 206 46'�216 P, 001 <br />���� i��GL 1 � K-��l-� ��-- � �r.lJU�i�2l�-� <br />�pt�) ���� Coo1l� PERMIT ApPLICA,TION <br />� <br />BUILDING/MEC�-#,ANIGAL�PLUMB�NG/S�GN/SPRINKLER/DEMOLITION <br />CiTY OF EVER�TT pERMIT' SERVICES <br />3200 Cedar 5t., Everett, WA 98201 425-257-88'10 FAX 425-257-8857 www.everettwa-org <br />APP�ICATfaNS AFi� ACCEPTED FROM 8 qM TO d p11f1 <br />SITE ADCJFiESS: PROPERTY TAX # �p <br />�� � nf�'i� 5`�' S� �df'YF�1-�- i�l � � � � 1'�� �i'Sc/�Pl �v0� f�t#�lY� 1 � .� � � � i <br />LECaAI� for new construction: Short Piat/aubdiv <br />ow�FR <br />Addresb .�� C� � � � <br />APPLICANT. _ Ownsr _ Ownar's Ayent <br />CONTRACTOR <br />Atltlf6SS �� . �!�" � J <br />1'�NANT BUSiNESS NAME <br />No, (attach copy of long lega! description) <br />Phone/�-mail <br />Clty/State/Zip <br />Ciantrap(Df _ COf1lfflCtOf�S A�JBIIt � Tenaf7t (must prpvEda a letter of conaent from the oHner to da <br />BUILDING PERMIT APPLICATION <br />�`T' L" Phone/ErnQif <br />� CONTACT FOR PE MIT <br />���.�,��'�.�tr <br />PhOne/E-mail �a� �� "L'� <br />NT�acr ��rGE oF <br />_� COE Bus. Ic. #t <br />l.� l'" B� L� <br />�� ��� <br />ExistiRg Use of 8uiiding �� <br />Proposed Use of euilding Qas <br />F3uilding type: �Single Family _ Dupfex _Townhouse _ Multl-Family _ Commercial <br />Type of projeCt: �New �lddition Rentod�i Fiepafr TJ. Sign Sprinkler D�mpl <br />D ESCRIPTION OF WOR K(add��one� spe�B Pro�;ded on rna back) ' <br />�r�1.1 t���-l�S h��- �Qv��m p. <br />�,��� �G� 3 C �1� � � <br />MEGNANICAL PER111�IT APPr.�CAT10N <br />ot Projaet_ �New _Addn _Alteratlon _Aopalr <br />Show Number J� vf flxtures <br />A/C — �ir handling units <br />Forced alr s stems <br />Gas I In <br />Water heater <br />� Gas ffreplace <br />Range hood <br />�xhaustfan <br />Heat pump <br />Unit heater <br />Soiier <br />F{efrigeration <br />W oodstovQ <br />Other <br />SPRIN�II.ER / SUPPRESSION SYSTEM <br />Number of <br />Efectric <br />cf,anae of Use <br />� ��� <br />� PLUMB��IC, p�RMIT 14PPLICATION <br />of Pr9ject: TJew _Addn _Altsratlon �Rapair <br />Shvw NunTber f#) of flxiures <br />I Toilet <br />Lavatory (wash basin) <br />Shower <br />Kit�hen sink & disposal <br />Dishwssher <br />Clothes washer <br />W$ter heater <br />Sink (service/bsr/mop/e <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />C-,rease trap <br />Roof dTains <br />Medicai Gas <br />Other: <br />�ther� <br />i Rereoy ceR�fy 1haT I nave read and examinsd [his appiicetion and know the same to De true and eorrect, All provisions of laws and ardinancas governing thia type of work wlll 6e compllad <br />wl�lt w�sther Spec'rfied herein or not. The granting of a peRnit does noi presums to grve autttority to violate or cencal tha proviaion of any other etate or locel law reguisting Congtructlpn <br />ThQ{ I am author¢sd by the owner of thla property to perform the work 4or w}�ioh �ppliCation is made and I comply with the State Contrectore Law 18.27 RCW and 286.200A �NAC. <br />!t � � <br />owner/A horized Ageni S3gnature �ate (Ravlsed s/2o72J <br />