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�5/15/2011 23:08 2067821303 OLSON ENERGY PAGE 01/01 <br /> �L s Cfi+ � N1gR.�,9�/a- (do�o� �� - ssz z �'v,� c�EDr�T <br /> PERMIT APPLICATION �' �°/�Y��vT. <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•9857—www.evereriwa.o <br /> APPLICATIONS ARE ACCEPTED FROM E AM TO 4 PM � `.I I <br /> SITEADDRE93• � �v� vaOPeRT'TAxp p RMIT� � <br /> � J� � EVC'�'-�ZT`l�lo/ I I l"> - O � � <br /> LEGAL fpr naw eonstr�ctlon: Short PlaUsupOivislon N/A �ot No._, (atlacA eopy ol lcrp lagat deaplptbn� <br /> OVYNER �/T�� fJ,1°�.J,/�S PMnNE•mail LS7 �9/ — � � <br /> Ad4r�ss /�-� Q� G�.�,. City/5talaTp /�-�^`� <br /> CONTRACTOR �� S-�'��- G L81Lic.# �Z�o�� DO ��C_�C �-'>�'�; I�'�. <br /> nearees �(���J kJ No✓ aJ p��d �' Pno�e+�rwi .?a ro �L —S�az- <br /> TENANT BUSINE3S NAME CONTACT FOR PERMIT <br /> � �onel�•ma�i ��°vE (J.�to/ 9G�� ����/ <br /> BUILDING PERMIT APPLIC4TION CONTRACt PRICE OF WORK �' �" � <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of 8}lildinq Gas EleNlc OVier <br /> Buildinp type: ��Single Famity _Duplex FTowntwusa _Multi•Famlly _Commerciel <br /> 7ype of prvjecl: _New _Additian ✓Remodel _Repair�T.I._,Sign_Sprinkler_Demolition_Charv�e of Use <br /> Descrlptlon Oi Wak(odd�Tfonal a0ece proWdad on fhe Daek): <br /> �.vsrr+-u- Gs�s tu,e,va-eE � 6',q� Pi�.h�( <br /> Have yau ctarted wwking wlthout a permit? _YES _NO <br /> MECMANICAL PERM17 APPLICATION PI,UMBING PERMIT APPLICATION <br /> Typa of Prqea: _New,�ddn �1ry�ralim_Rapair Typ�o}Propcl: _N�w„Addn _Alterrtlon_Rewlr <br /> ShoWNumDer o//lxfuros ShowNumMr ol/fx(u�os <br /> A!C—alrhgndlin unitS Tollet <br /> Fa�CCd flif 5 tOT6 B2thtUb <br /> _ Gas i Lavaro wash besin <br /> T water heater shower <br /> Gas firo Ipce Kitchen slnk E dis sel <br /> Gas ren Dishwasher <br /> Clothesd r ClotAeswasher <br /> Rn hoal Walerheater <br /> Exheust lan Slnk servke/ber/mo etc. <br /> Hoal m Backflow evenlet <br /> Unit heatar Urinai <br /> Boiter Drtnki Founteln <br /> Refti eration Floor droin <br /> WoodStove Grease tre <br /> Dudin Roof drains <br /> Othet Medical Gas <br /> SPRINKLER / $UPPRESSION SYSTEM other. <br /> Number o(Heads Other. <br /> 1 nomby rnNh�Ihet I Aavo rcad antl o.e,�nined tnis oppikauon end know tha sama to be trua and correcl,M p�ovlsions o1 lews ana ordlnanoas govaming <br /> I�Is lypa of work a;u be compNed vAtA whetner spac;fied Irerein or rr�l.Tho granUnp ol o permtt dces nol presume to giva uMwrlty to vlo�ete or cance� <br /> tAa provlsion ol any olhal atalo or bcyl Imv repulaUnp cona.r�ctlon or Ihe paAwmance ot cnrreWctlon.Thet I am auUprizaC hy Ur,ownar of Ihls propery <br /> lo paAorm IAo wvrk for which upL'catf�n b ado nd I comp'y v.ith lhe StaM Contrattora LaN�78.27 RCW and 796.20p WAC <br /> `— <br /> f ����� <br /> OwnarlAutho�i2od t5lpryture D0k (RBv:sod7li011J <br />