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03/30/2015 MON 6:36 FAX 425 379 7045 WA Natural Gas 001/001 <br />PERMIT APPLICATION <br />BUILDING/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 vnw/.evereltwa.org <br />SI rE ADDRESS: <br />2 o i.ac�1n O E�IecaT� vl�l 28�3 <br />PROPERTY TAX <br />H p L1 <br />CST <br />LEGAL for new consVucbon Shen PNVsuWrvision Lot No._ (attach copy of long legal description) <br />OWNER t� <br />Phone/E-mau <br />Andresd2L{D 16a(-I�h J4 <br />ZO3 <br />City/sloe ip <br />APPLICANTS Owner Ovmeh A5enl Conbacler Conlraclari Agent _Tenant a,Ne e:^eel <br />CONTRACTOR LLrfi (9nnCrS fC 'T- <br />State Llc. k QSiL l 41 L D City Bus. Lic. x OLUO n <br />Address �t5 LJ Custri t2i ST aLV c,-j'C f} %Li <br />jPh3ne1i tfZS - 35-5'' 333 <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT�O-ey __r <br />Phon,vE-mai'� �Wa YlTUA1�j C'C7It— <br />BUILDING PERMIT APPLICATION <br />CONTRACTPRtCEOFwORK 00 -V-- <br />Existing Use of Building -- _ HEAT SOURCE: <br />Proposed Use of Building _ Gas Electric Other <br />Building type: x Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Type or project, New Addition Remodel Repair T.I. Sign Sprinkler Demolition Change of Use <br />DESCRIPTION OF WORK (addrtronal space provided on the back) , <br />Lli i q""v v'0ir lnsCAV <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typeol Project: _Nnw_Addn _AAlteration_Ropair <br />Show Numberi ofrrxtures <br />Typeol Project: _Naw_Addn _Alteration_Repau <br />Show Number fiil of fixtures <br />A/C — air handling units <br />Toilet <br />Forced airs stems <br />8athlub <br />Gas piping <br />Lavatory wash basin <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />Gas ran a <br />Distwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink semce/bar/mo /etc.) <br />Heal pump <br />Backllow Preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />_ <br />Refrigeration <br />Floor draln <br />Woodstove <br />Grease trap <br />Dueling <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />I <br />Other. <br />Number of Heads <br />Other: <br />r hereby ceney that 1 . read and examined Ihh epptcalon and snmr tM same lobe uue eN correct. A➢provii of UM anal ordinances guvernbq this type of mnt war be comp <br />W-A Maftf rl 0 rtlna L The Sarong of a pennM t does presume logive aplhoay to c&,11i er eanalde proration of any tithe stale or beat law regWengoomctbnlru <br />R <br />That I am auu+or a b the o otti or paM d Ne wpri h^ -- Icomph sin tM Stale Conaaelors Law 19.27 KIN and 296]DOA WAC. <br />(Revised912014) <br />