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03/04/2016 TEN.; 13: 19 FAX Fast water Heater U004/004 <br /> PERMIT APPLICATION L2i <br /> _ <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425257-8810 FAX 425-257-8857 www.everottwa.org <br /> 91T1=ADDRESS: <br /> Or U 2 " �1 11I `601110. DI) P `"% u <br /> sa <br /> LEGAL for new construotIon: Short Plat/subdivision Lot N .- ,— (attach copy of long legal description) <br /> OWNER �0 L PA2-5 i b /�LP <br /> /// 4 Phone/E-mail <br /> Address a I lid City/state/Zip / 6 <br /> 8,-tt. a <br /> APPLICANT: Owner Owner's Agent , Contractor Contractor's Agent Tenant(must prowde m letter at consent from the owner to do w. In the aFace) <br /> CONTRACTOR ' ,it ST 1 ,4 -g- IMI 7 State LIC.# <br /> l 12 S c, 4,, ,l i <br /> Address WIN mat sus. t ic., .-La <br /> 4 -t1U j <br /> ' �• - . I W�• Phone/Email �o'J�(r13 i I. 04: ,_/�"',5 4 � d-� <br /> CONTACT FOR PERMIT r cs-KY-,G a <br /> Thr 1✓E <br /> Phone/E-mall • i7, ... it.w I fih, , t.- I f 1i443'v 1 '{r <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK air! 0'''' <br /> Existing Use of Building <br /> HEAT SOURCE: <br /> Proposed Use � <br /> snp <br /> Gas . Electric __ Other <br /> Sulldlncd type_ In le Famll . Duplex Townie• Multi-Family 'Commercial <br /> Ty ie of.ro'ect: New Addition Remodel CX.Re+air T.I. Si.n S rinkler Demolition • Chan■e of Use <br /> DESCRIPTION OF WORK(additional space provided on t_ e• b` <br /> h : <br /> 'PiAA-6\f-e--/ro a 62_ ____Ce„S: u1/4Jcuvr" hicAA-e4---- <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Project: _New Addn Alteration Repair Typo of Pro is . <br /> 1 N ddn Alteration Repair <br /> Show Number • of fixtures <br /> Show Num::r # of l/xfuree <br /> A/C--air handlin• units Tol <br /> Forced air s sterns Batht w <br /> Gas ■I+In• Lavato a wash basin <br /> 1111•11111M11Water heater Shower <br /> Gas fire lace <br /> Gas ranee &65•o8: <br /> Clothes dr er Dishwasher Mgr <br /> Ran!.?hood Clothes wash lir <br /> Exhaust fen <br /> Water heater IIIIMMETZA <br /> Heat 'urn. •ar�1, o./etc. <br /> Unit hector ,Backflo AIM <br /> inelde hid. <br /> elliMieIMIA <br /> MOMMIEMI Boller <br /> .1111..111111. RefritBoIleeratlon Dr In• Fountain <br /> .111=11111.111Woodstove moor drain <br /> DuctingAllE:: = ' <br /> Other Wr Roof drains <br /> • <br /> — <br /> Medical Gas <br /> Other: <br /> . Ise : .:ass <br /> Other; <br /> I herotiv oertlly that I have read end examined[hie epplloallon and know the same to be true and correct-All provisions of ewe and ordinances governing this type or Work will be comp <br /> with whether speclfed herein or not.The granting of to permit does not presume to glve authority to violate or carioca the provision of any other slate or local law regulating cangtructlon <br /> That I.m autho ed by the o nor of tills 'ape y to perform the Work forwhlot application le made and I comply with the Stele Contrectors law 15.27 RCW and 296.2DDA WAC, <br /> .A4, "PA . ___A4 --( Lp <br /> Owner •uthorizod Argent S.gnature - <br /> Date =_L co( <br /> pulsed 4/20-15j <br />