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0111612013 09:17 BEL-RED HEATII�G &AIR COND. (FAX)4254935354 P.002f003 <br /> PERMIT A�'PLICATION <br /> �BUILDING/MECFiANICRL/PL.UMBING/SIGN/SPRINKLER/D�MOLlTION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 irrnnr+.everettwa.org <br /> APPLICl�TIONS ARE ACC[PTED FROM 8 AM TO 4 PM <br /> SITEADORESS: PROP TYT PER ITC i' _. , y) <br /> ���� Ke�i .�.io�-a-�n �l� UO � a.00 "� <br /> L[GAL lor n�w conslructlon�. Short PlaVsut�d,vislon Lo1 No._ (c�tach copy cl long tegal descdptton) <br /> OWNER `[��r � �l_� ��GL—� �'��anelE-rnail �'�C.iC�I�(�� m W •��'� <br /> Atltlress �Q� SP(�IACG Sl�. CitylStatz2ip �J r 0.YlGl�' ' 1- 1 ' `� <br /> APPLICANT: Owner OwnersAgent Contmctor ConiractorsAgent 'Tenomer�:�om�wo.e�r.���m�o�,.�auw���:�+m���oco.on��n�:a�«� <br /> CONTRACTOR P�— .I� ��vC'. �L L E I Lic.N -' (" PS� � COE Bus. Lic.» F� ' <br /> ,`,��,,,s. L� 3 /�/7-<h �L V�(CST n�u /�O L�PhonelEmail ya5- y93-5353 <br /> TENANT BUSINESS NAME C�O��N;��11eR Pr-7M��11��p� (y�n.�-IIQ,'I6Y1 C� � ' <br /> O�r�- F I"- —' co � <br /> Phone/E-mail�-�fti'J' �� J�� <br /> �U <br /> 6UILDING PERMIT APPLtCAT10N CONTRACT PRICE OF WORK` <br /> I-xis�ing Use of Building HEF�T SOURCE: <br /> Proposed U5e of Buildiny _ G�s_ [Icclric_ Olher_ <br /> Bwlding type: _Single ramiiy _Duplex_Tovrnhou,e _Midti-Family _Commcrcinl <br /> Type cf pro ecl: Nmv _Addition Remodel _Repalr_r_T.I._Sign SprinF;ler _ Demolilian_ Chanc7e of Use <br /> �ESCRIP710N OF WORK(adrlilional spar.e provided an Um t•a.%;): <br /> ��- R��luce� C;r-�s Nw� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APpLICATION <br /> 7ypoofPro)oct: _Now_Addn _Altarellon_Rapxir TypaolProJuct: _Naw__Addn _Allcrolion_Rupalr <br /> Show Numbcr(q)a!RaYures Show Num.icr(N)01�rfurea <br /> - � A/C—air handlin units I l oilet <br /> � ! Forced air s stems I BaUriuh <br /> �� � Gas pipin_ I L•rvato (wash basin) <br /> � - j Water healer I Shower <br /> i _ � Gas fi�eplace _ I Kitchen sink 8 dlspvsai <br /> � Gas range � Dishwasher <br /> I _ � Clolhes d e� I Clolhes washar <br /> I I Ranqe hood I Water heater <br /> I Exhausl fan � Sink(service/badmo /etc.) <br /> ���- � Heat ump I F�ackflowpreveNr.r <br /> 1 i - Unit heater � Urinal <br /> � <br /> � Boiler I Drinking Fountain <br /> � Refrineralior, I Floor drain _ <br /> � Waodslove I Gra�se�rap _ <br /> �i � �uding � Roo(drains <br /> � � Othcr___ . � Medical;;as <br /> SPK'INKLER I S17PPRESSION SYSTEM � other. _ <br /> � <br /> � 1Jumber cl Heads I Other: <br /> i 'n� .�Cp cen'ly Ihal I navc reaJ arA u.nninea Rti:uppLWLon un�Anuw Ihe snme 1]�c Vue antl conecL M piovisona ol hws and ordinancesy`�vemN�011s lype olwefk will be[omplled <br /> n9 i xhulhe�fr,cRmd heroln o!Ool Tpu cJ �L 9 0l n permM1does nal presume fo qne aul�ciEy lo vlclaln ar canccl lhe V����slen ol nny otl¢r siale m lacallaw�egula�:np censlmctlon <br /> i nnl l am evN� IieC Oy Iha oxTef olNic p�op tlyto petlom11h0 wo�k lunrpl.h nppLcnlion e ma:le oN I¢mf�i"•���Ine St���Ccrdr:¢Wr,�a:�10 T• FC:V and]'G�C'A'h'AC <br /> �Ly � 7 � � :i �� / /� /� <br /> cr1A Wharliod Aflont Sipnaturo D]Ie 1�'-'visc�!G4012) <br />