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FROM :Evergreen State Heat & A� FRX N0. :4252596660 � Mar. 22 2011 01:19PI� P1 <br /> PERMIT APPLICATION <br /> BUtLDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 Cedar St., Everett,bVA 98201 -425-257-8810-FAX 426257-8857-�wvw.everethva.o�Z V`' <br /> APPLICATIONS ARE ACCEPTED PROM B A1A TO 4 PM <- <br /> s Re • novtnTvrnx� R'03 ' 3 <br /> LE(3AL fir new conaUuc{lon: ShOrt PIaUS'�bdh'Isbn Lot Na._ (attach copy uf long Ipel Eevcription) � <br /> (s�,c�.c-�. — — 3 � -- 3�3"zr <br /> WNER PhonNE-meii �/� <br /> ddrem ',� ^Q . ChyISWUZiP w}'1 � � <br /> ONTRACTOR �8 I Lfc.# VP V � <br /> dross � PhonaEmaii — � - -,,.7� <br /> T B SINE89 N � OR <br /> PhenalE•m�il 5 a . .�-31 <br /> SUILDING ��RMIT AP'LICATION aatnACT PRiCE oF WORK_ <br /> Ezisting Usa of Building �_- ._ HEAT SOURCE: <br /> Propoead Uee of§uilding �� . �■a E���� oiha� <br /> Building lype: �� Slnple Famlly _�upleK__TownhoUle _Mul Famlly �(;ommardol <br /> Type d pro�act: _New _..Addition _Rentodel .. ...Repalr,J�T.I._Slpn_Sprinkier_..,Demcl�lm_.Chenpa of Use <br /> Oe9Cription af Work f�dllbnal spxe provitlotl on tha bnck): l�� <br /> Havo yo�atartd work��a Wmlit? ` YE� O <br /> MECMANICAL P[RMIT APPLICATION PLUMBINO �ERMIT APPLICATION <br /> ypeofProJact: ,�Now_Add� _Altoratbn_R.pdr ryp.otProJwY: �,New_Addn _Altaratlon_Rep�lr <br /> ShawNumber an,rwre� showNumbr(k Wllrfuros <br /> AfC-air endinguni4s oilet <br /> ForCed alr c tems Bathtub <br /> Gee i n Levelo waah bestn <br /> Water heater S�� <br /> Gas tlre Ince Y.itchon sink 8 dis osel <br /> Gas ranga le sher <br /> Cbthes tl er Cbtlas waeher <br /> Ran ehoaf Weter eater <br /> Exhaust fan ink(sarvlCelDerlmoplelc. <br /> He9t um Beck9ow reventer <br /> UNt heater Urinnl <br /> Bdler rinkin Founlain <br /> RefA eratlon Fbordraln <br /> Woodstove Greaee Ua <br /> Ductln oo droins <br /> Other Medical Gas ' <br /> SPRINKLER/3UPPRESSION SY8TEM omer: <br /> NumEer of Hsads Olher. <br /> I horeby c�e�ily lhet I have road and�zamined Ihlo appllealim end kmw lh�some to ee In+e and eonacl.All provlslone af I■w�and orcfinaneee Oa'aming <br /> Ihls typo,ol worM w�n be wmpled witb whether apocAlad heroln or nd.Tna a�antinp ol a pormit tloa�not pnsum�to qive auNonly to vlointo u cannl <br /> Ihe pivvl�bn of any otna�sU10 of lapl Iaw�Opulilh�g t�nalrudion of MO POrtOttIW�ta ol conelNCllon.Tlbt 1 a�l euth0l�Utl hy MO OW�16f d tllie GI'Opstly <br /> �o pedo Na r�r1c forNfiieh�pplk.tion Ie meda and I eomply N11h IAe Slata Conlraclors Law 18.27 RCW anC 29a.20o WAC <br /> 3--aa <br /> Own�dAutho q�rn i19� tun D�ta (ReWs�d?/2011) <br />