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07f02l2013 15:36 BEL-RED HEATING 8 AIR COND. <br />(FAX)4254935354 P.0011002 <br />PERMIT APPLICATION <br />BUILDINGlM�CHAN�CAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.eve.r-e7tlwa.org <br />APPLI4ATIONS ARE ACCEPTED FROM 8 AI41 TO 4 PM /"�"'� <br />A��RESS: PROPERiYTA%7! P MIT7i <br />� � ��3C� [� ���e.r��n�Y __��oqn i� �co 30 � <br />(orneweonstmclion: Shatl <br />_ Ownar _ Ownor's Agenl <br />No._ (allach copy of lonp Izpal desr,riptian) <br />Phane/E-mail � ?�(rj)� �'j/�,jj — <br />ConVaclor CONmctotsAgent Tenantlmmimo+w��wno�o�m�+am�R:mmoo�..n«noa�waMhm�so��c1 <br />� � <br />_�. �I_>..� i s i i�.- �Rc� acc�RR:<r\� COE Bus. Lic. iF(1`i�o��( <br />Phone/Email <br />iCiShC.� �L�SaY� <br />PhonM-Gmail`�I9,5 `��t3-5353fm1�, �l <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK � I! iSa �. 35 <br />Exisling Use of Building _ HE/\T SOURCE: <br />Proposed Use of 13uilding Gas� E�ectric_ Olher_ <br />�uilding type: � Single Family _ Duplex _Tov+nhouse _ Multi-Family _ Commzrcial <br />Type of pmject � New Addilion Remodel � Repair T I Sign Sprinkler Demolilion_Change of l <br />DESCRIPTION OF WORK (adtlifional spaca pmvided on the back): 0.� <br />Re�\c�c��e� es� 0.�e�S �urnc�ce c�r�c�'�r�s�oJ..�eo�c. o� <br />a.�Y c��.a�,�-:o,�a�r . <br />MECHANICAL PERMIT APPLICATION <br />of P�oJocl: �,Naw _Atltln _Altarallon x Ropalr <br />T'C <br />Gas <br />hood <br />tfan <br />Numbcr of Heads <br />PLUMBING PERMIT APPi.ICATION <br />o1ProJacF. _Now_Addn _.AitoraUon_Ropalr <br />ShowNumbcr(q) olOxtwes <br />Clolhes washer <br />Watzr heater <br />Sink (service/be <br />6ack(low prevei <br />Urinal <br />Dtinking Fo�Nz <br />Floor drain <br />Grease trap <br />Rcof drains <br />Medical Gas <br />Other. <br />Othcr. <br />I tiereby enntly Ihut I hnvn ruutl nnE esamnee ihie eppl[nllon nntl know Ihe,omx lo hu Imn onJ mrtecL All pmvlsbns ol laws and wdinonces gavemL�9 tnls lype o/ wnik wll pe complea <br />n:M1 xhalher specPied M1mnn at not TTe 9mnlinq of a pertntl Coes nal presume la O��e auRionly lo violain ar wncel �he pmvlslon of any alher slnle or lowl aw regulaling [anSWcllan <br />i cs� i am uulharceC by I�e owner olNis pmperty lo petlartn I�e wark lar �Mic� npp6cnlion is maoe antl I complywnh ihe Slnle Contmqom Law 102� RCW inC 296200A WAC. <br />�� l� v�l � <br />OwnedAu(hori.SdAa SlnnaWre Dale (Fevisedfi.207?) <br />