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425-252-1666 cm. heating • <br />. 1t 18'35 12-01-2015 213 <br />e 1 r'LI I L-I%.#r11SWIM <br />B UILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425.257.8810 FAX 425.257-8857 vmv.evereltvla org i <br />/2—b/—/t> <br />1DORESS; �Q\I J3eNtRLAX_ PROPFRrY TANk P M1n7A rl <br />V <br />_IOr Carr ean;lru:ban. snort Pia:9ubdhdslon;_ Laltlo_(1!13:h COPY of long leg7l dMdP!,an) <br />R � <br />obone/Emall 5- -- <br />Vv <br />Ci171SIete2lp �- <br />7ANT:_bvnar _Ovmeh Apanl ✓COntrlclu _Comn:mrs Aa•:nl _7Onanl w�na„rya a'amrvaurta:�7a a•r✓Lilo •`'II•,^,••: "'•',." <br />� ` 5R <br />Cil• Bus. Lie p u W <br />IACTOR 0. 1 (. <br />Slate Lie Rt,1'1 <br />G)-em� WA 9vo1 <br />PhandEm011 L}� 209 Lvly <br />1416 $r00r"cw <br />T BUSINESS NAMECONUU�TA,�,, <br />tCt�vT,� F�ORILE�RCMI12� 19aWO. <br />"ff iiJJ <br />,gym <br />PnO/BmaO <br />DING PERMIT APPLICATION <br />CONTRACTPRICEOFWORK — <br />HEAT SOURCE: <br />Use or Building <br />,d Use of Building W s Electric ONOr <br />type: Single Family •_ Duplex _Townhouse _ Multi•Family, _, Commercial <br />_ <br />orolecC Nsw Addition Remodel _ Rep9ir TI Slan Sprinkler Demolition Change of Use <br />!IPTIONrOF WORK (sdtlionslsps:epmvidadan09back): <br />PLUBING PERMIT APPLICATION <br />M <br />IECHANICAL PERMIT APPLICATION <br />'rolaet: Allaralion_Rdpal( <br />TyPoof Prolocl: __Now_Addn _Alteration_RaPatr <br />_Navr_Addn <br />show Number e)aftivures <br />Show Number FIN o/Rrluras <br />Toilet <br />I A/C - air handling units _ <br />Bathtub <br />Forced air systems <br />o wash b <br />Lavalasinl <br />Shower <br />Kilc_ an sink 6 dls dsel <br />Dishwasher <br />Gas PIPfn9 <br />..—r <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes washer <br />Water heater <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Sink servlce/barlma late. <br />Hpal Um <br />Backfiow roventer <br />Unit healer <br />Urinal <br />Drinking Fountain <br />Boller <br />Rafrirleration <br />Floor drain <br />Woodslnue <br />Crease Ira <br />Ducting <br />Roof drains <br />Medical Gas <br />Other <br />PRINKLER / SUPPRESSION SYSTEM <br />Other. <br />Number of Heads <br />Other. <br />MY that I have road and examined this aPPlCoaan and know the same Is ae bua One caned A7 pmvbbns of Liss and ordinances9atar6ea this r F" et wad 07 be Comp <br />Of sFmlled herein ar POL Tha gnneng ore penNl dons not presume Li gbn auW Nr to vlolale at cancel the proNsbn of any other stale at Iaca Lin tolulaeng censtmcten <br />vAhortaad by the <br />0*00triooff thjs Fmpody to padorrp the r,=rk tar which ar/4cnban Is made and 1 ,amply with the Slate Conbactms Lan to 27 RCw and 293 200A WAC <br />f AktAl <br />ylharksd ASan�c+ l pnalure Data Yn.LiJ%S.1-� 1 I I I (Rarlsatl SROII) <br />,kr _ <br />I11UIylI}I/J�j t <br />