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Apr. 4. 2014 4:49PM No.4581 P. 2 <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 425-257.8657 — wvM.everel wa.or9 <br />APPLICATIONS ARE ACCEPTED FROM a AM TO 4 Prd <br />51zE ADD SS: <br />(J(J �PEFT4oO p zov <br />PE <br />r11Tri �I 1-- , C <br />"f <br />LEGAL lets\rn,n.v eori then: Short PlaVsuhdo,mon LDDI No._r(all];h Gopy of bqo legal tlorsnplion) <br />OWNER _)04AJ N&CO <br />PhonefE-mail , • r <br />Adores: Q <br />1, vitiaiaksL <br />cdylstaterzip Vwo <br />CONTRACTOR <br />L S I Uc. d 35 (Lk <br />Add,a:r <br />D <br />PhorclEmail vcs , i uz- <br />TENANT AUSINESS NAM11E <br />CONTACT FOR PERMIT <br />d.gvN $rLc:wU _ <br />PFone�6man ' 2. rV (r� <br />BUILDING PERMIT APPLICATION <br />ICONTRACT PRICE OF WORK d " <br />Existing Use of 13uIl0ing /•'ll.c HEAT SOURCE' <br />Proposer Use of Suildinri-hliam 4L I GasX Eiact ie_ Other <br />Building type: _ Single Family XDuplex _Townhouse _ Multi -Family —Commercial <br />Type of project: _ New _Addition _ RemOdel /�. Repair _T I. _ Sign _Sprinklar_Demalibon_Change of Use <br />Descnpbon of Work (addilbnal space provided on the back) 1,,t y i 1 LI �J>L1�14 �kA/�; Q� �✓ l <br />Have you started working without a permit] _YES 1—NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project! _Now_Addn _Alteration Recalr <br />Show Number lNl of Adores <br />Typo of Projocl. __Now _Addn _Alteration _Repair <br />Show Numbar(0) of futures <br />A/C-airhandlin units <br />Toilet <br />Forced airs stems <br />I Bathtub <br />Gas piping <br />Lavatory (wash basin <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />Gas ran r. <br />Dishwasher <br />Clothas dryer <br />Clothes washer <br />Range hood <br />Wolof healer <br />Exhaust fan <br />Sink somicelbatlmo lots. <br />Heat pump <br />Backitow, pieventer <br />Unit boater <br />Urinal <br />Boiler <br />Drinking Fountain <br />_ <br />Refrigeration <br />Floor drain <br />Woodstovo <br />Grease trap <br />Ducting <br />Roof drains <br />Outer_ <br />Modlaal Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />I <br />Other: <br />I hereby caniy that I have read and eaarrinod !his application and know The some lobe true and correct All provisions of laws and ordinances governing <br />this type Orwork will be compiled win whether specified herein at not. The oranlinq of a permli does not presume to give authority to violate or cancel <br />the p%tiOn any other stale or local law requoUng Construction wthe performance of contuuction. That I am aulhortied by the owner of this property <br />to aa n r which appPcabon is made end I comp ymlh the State Contractors Law tg.27 RCW and 2ge.200 WAC <br />N 1 <br />O%,i`n?1lAutli Agent Slgnatwo pale (Revised 212010 <br />(CM <br />