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08/29/2012 RED 20:34 FAX 425 379 7045 WA Natural Gas Q 001/001 <br />� 1- <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-I S10 FAX 425-257-8857 www.everetptm.org <br />APPI 1CAT IMINIq ARE ACCEPTED FROM 6 AM TO 4 PM d `3,0 - <br />SITE SS: I „ /- �rPROPERTY TAX <br />VJ <br />PERMIT <br />vV/ <br />LEGAL for new construction:1(Shon, PlatIs"Ivison Lot No._ (,:!tech wpy of long laps/ desaiptim)`� <br />OWNER <br />PhonNEmal' 6- - 51 3 <br />Address /' D <br />Cily/Stmeop 2as <br />APPLICANT: Owner Owners Agent �onlractor Contractors Agent _Tenant l^•�•tpmvide•etW et aon••^tk•r•ar•wmerroao wYtea,e re.w) <br />CONTRACTOR <br />L d&iiLLi(c. N COE dus. Lic. # <br />-7 <br />Address 5 982V-T Emal <br />TENANT BUSINESS NAME <br />CO�IjACT4FOtt PERMIT- _ 2 <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK 2 11 0 (46. 3Z <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building Gast7Etectne Other_ <br />Building type: ,�pingle Family _Duplex Townhouse _ Multi -Family _ Commercial <br />Type of t ect: New Addition Remodel Repair T.I. Sion Sprinider DemolHbn Change of Use <br />DRSCRIPTION OF WORK (adddionef space provided on the back: / Nn J JA *raw r <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Adds ­Atteratim _Repair <br />Show Number / ofaxfwes <br />Type of Project: _New _Addn _ ANeraaon _Rwalr <br />Show Number offfxtures <br />AIC — air handling units <br />Toilet <br />Forced air systems <br />Bathtub <br />Gas piping <br />L wash basin <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink 6 disposal <br />Gas ra <br />Dishwasher <br />Clothes washer <br />Clothes drjer <br />Rang,j hood <br />Water heater <br />Exhaust fan <br />Sink (service/bar/nopfatc.) <br />Heat pump <br />Baddlow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ductino <br />Roof drain <br />Other <br />Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I hereby cedify that I hew read and examined this aDDredon end know the come to be bee end correct. As provbbns of tews wd ordknnus povaMp the" of work wa be cornDsed <br />with whether specified hervin a not. The granting ore perms doge Irol Dteelrme to a" aulhorly to vbWe orcanceltlte provebn Of" other State ar brol law regrestbrg oonseuctbn <br />That I a^i auhod ed by the owner of this property to perform the work for~ appkmld n Is made" I oompy with the State Conbacion Law 1827 RCW and 200.200A WAC. <br />(Moiled 6N2012) <br />