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Feb. 18. 2014 9:02AM EVERGREEN STATE HEAT B AC N0.0488 P. i <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Ceder St., Everett, WA 98201 - 425.267.8810 — FAX 425-257-8857 — www.everettwi orcd <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 FM D l q— J 4 <br />SITE ADDRESS: <br />- <br />PROPERTY TAxn <br />PE kvru <br />02 -o y <br />LEGAL for now consvudbn: Short Pbitl6u"bdrviean LOINO._ (ellechwpyoflong legal da:u!pbcn) <br />OWNER Q ate <br />V1— <br />Address <br />PhonolE"m r <br />City/Slele2lp <br />CONTRACTOR (/ L & I LiC. q�'.' <br />Adorozo P.ncnc,Enn S <br />TLNANT 8uISINlE5SS NAME <br />GONTACT FO ERMIT <br />/.t_xv r�jZtt <br />Phnne.r mai' " <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />cxisling Use of Building HEAT SOURCE: <br />Proposed Use of Bu;lding Gas _-_ Electric_ Other <br />BuIld'ng typo: _ Singlo Family _ Duplex _Townhouse __ Mu:li-Family —_ Colrnturcial <br />Type of pro;oct: _ Now _ Addition _ Remodel ><. �Rak _ T.I. _ Sion _Sprinkfor Demolltion_Change of Uso <br />lkscripQllo�n of Work faddifionel space proyided on the bask): <br />Have you sturted working without a pornslt? _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type or Project: _New_Addn _Alleretlon Repair <br />Show Number(a) of fo, *as <br />Type of Proleel: _Naw_Addn `Alleral Ion —Repair <br />Show Number(0) offt. ruros <br />C — all, handling u_n:ls <br />I Tollt,l <br />Fc+ced o'r systems <br />Batt tub <br />13 V'Ving <br />Lavatory (wash basin <br />Water healer <br />Stw'wor <br />_ <br />Gas Eroolace, <br />Kitchun sink & dls osai <br />Gas ran q d <br />fashwasher <br />Clothes d er <br />Cloth es wit! her <br />Panes hood <br />Wmer healer <br />Exhaust fan <br />Slnl: smvicolbadmop1vtc.)_ <br />f Icat pump <br />nac"Ow pruvonror <br />Init hontor <br />Urlc rd --�— <br />HOiIOr <br />Drinking Founlnln <br />Refn oraitoA <br />1'10cx draln <br />Woodstove <br />UuCbnQ <br />Greaso trap <br />Roof dminn <br />Other <br />Magical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Olhor. <br />I hereby certify I h a I I have read and examtnco Ih!a npollcallon and know the same ra be Irve and correct. All provisions of lows and ordlnances govormog <br />This typo of work will ba "replied wYh whether tper fed h..ein or not. The grenling of a POlmll does not presume to gtve aulhodly to violale or cancel <br />Iha prov of any other slyy? fat law iegulaling construction or the performance Of construction. That I am authonowner zad by the of this property <br />Io pedo �I Ida work for Gch aPpl ao Is made and I comply with Iha State Contractors Lew 18.27 RCW and 2e8.100 WAC <br />Owner Aulhorho Agent Signature Oala (Revised 212011) <br />