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FROM :E�er9reen State Heat 8 A;� FRX N0. :4252596660 � Mar. il 2011 11:21AM PS <br /> � <br /> PERMIT APPLICATION <br /> BUILDIMG/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT 3ERVICES <br /> 3200 Cedar St., Everett,W A 88201 -425-257-8810—FAX 425-257-8857—µnnnnr,everettwa.org <br /> AFPLICA710N3 ARE ACCEPiED FROM!AM TO 4 PM <br /> S�AD�E88�� ROPEHIYTAXM PERMR• _�`� <br /> EGAL br new Con8lNdlon: SMfI PlaVwbdivition Lot No._ (a1LCh eopy of lonp lapal desCriptqn) <br /> wNER �Q Ve. � , C�S �Q Pno�.�-man _ 7j _ �• <br /> ddross (�� . b ClrylSteta/Zip O <br /> ONiRACTOR ' L811�.# Y <br /> tldreu ' 1 p d V Phon�lEmall �� `�,rj� 1 <br /> T B AME 0 O <br /> 1^ � <br /> �1 tane/E-m�ii Ql �'y\ <br /> BUILDINO �ERMIT APPLIC�TION ONTRACTPRICE OF WORK_ �GD6 ' <br /> Ex16Unp Use ot Bullding _ . HEA7 SOURCE: <br /> Proposetl Use of Building "1.D`-Q-11C ff , __ Oas_ Ebtlric Otner <br /> BuildinglYpe: �SingteFemily _Dupiox__Townhouee _Multl-Famlly �Comm�rGel <br /> Type d vrajact: _New _Addition _Remalel _Rapalr�T,l._Sign_Sprinkler_Demo�illm_,_Change ot Use <br /> Descripilon of WOrk(adAhbnalspace prvvidaAon IM WcW: � <br /> �„�c..�la s s I�ar�.--�� �-'r'`� <br /> Hw�you at�Aed worklnp wlthout a permit4 _YE3�NO <br /> MECMANICAL IlRMIT APpLICATION PLUMQING �ERNIIT AppLICATION <br /> YW otProJoct: _N�w_Addn�Mbr�tbn_R.p■Ir Typ�ofPrq•ct: _N�w_Addn Mleratlon_Rpair <br /> ShowNumMr N �ctuns ShowNumWr WNrtuns <br /> A/C-91rh8�tll1 Uffi�9 Tdl9t <br /> Facedaira sl�ms athWb <br /> Gas t �n Lavo wach basin <br /> Water heater hower <br /> � Gae fire lace �tcAon s nk b dls Osel <br /> Ges ran e e wesher <br /> Cbthea d er btlwc wg� r <br /> � Ren hood Waterheatar <br /> Exhausltan in sarWce ar/mo /etc.) <br /> Hept um Bx roventef <br /> Unit healar Udrol <br /> Ba�er rinkln Founfain <br /> RaM enqon floordrgin <br /> Woodstove Greaee trap <br /> Ductin ao dralns <br /> Other Medical Oas <br /> SPRINKLER /SUPPRESSION SYSTEM ou�;r: <br /> Number of Heada Other. <br /> I hareCy cemly that I hav�read end ezam�natl thie applicatlon�ne Mrow the aame 10 be ima and wrteet.All provieions ol Ww.and orainances O�amin9 <br /> ihis rype of Work will 6e wmpied wlth wfi�lhar ipae�otl heroin of nd.TI1a prantinp ol a parmit doee nol P�awme lo O�Y��N�OdtY to viols�e Or tanai <br /> Ihe prownbo o(any othu slata or locd law raqulpl4ip mnatmcion orlhe p�rtorm�na of ConSWclion.Thpt I arll aNhor¢pd by the owna�01 Nic pfOpefly <br /> to Aorm�ha v�,r►Ior vAiich appllcetbn Is maao ma I mmpy with the Slcte Contraaors Law 18.27 RCw and 488,20o WAC <br /> ����Ce�� 3•-11 -I1 <br /> Owner/AutMfltWAp�nte nNun Dals (R�vieed2/2071) <br />