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Nov 23 2016 11:21 AM Washington Water Heaters 8663757454 pa <br /> PERMIT APPLICATION <br /> BUILQING/MECHANICA PLUMBING/SIGN/SPRINKLER/ <br /> CITY OF EVERETT PERMIT SERVICES PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> 5/TE ADDRESS: /a / i _ <br /> e PAX S# <br /> ,pp <br /> / <br /> 'LEGAL for rrewconstrr, 44 _ ._. <br /> ction: Shod Platsubdivision . <br /> Lot No. <br /> Q�/' (attach copy of long legal description) <br /> OWNER V/ ^� <br /> -7 �/ A A, i Phone/E-mail 1-Z - 38-3 3 f(3 <br /> Address r �i! �f/yl t / -•fir civ <br /> ��I CitylSfate/Zp / A <br /> APPLICANT: Owner Owners Agent Contractor / <br /> Contractor's Agent Tenant(must provide a)atter of consent tram . <br /> the owner to do work in the <br /> :CONTRACTOR �ishln �,: <br /> ;t14 Gtly 1 CL/C <br /> State Llc # <br /> :g� City Bus. Lic_# Jj <br /> '0f.,„,,l,„.,- , rrii;r” ; " r ,KAddrsss .c: r-„ ' ✓-.,„27, <br /> :.• t it. ,s Phone/Email , 7f--M bl� 4U�L, ��LjTENANB INE NAME CONTACT FOR PERMIT <br /> Phone/E-mall rt 0'-25 '' <br /> BUILDING PERMIT APPLICATIONF <br /> -CONTRACT PRICE OF WORK <br /> Existing Use of'Building <br /> r <br /> Proposed Use B Ing___ - 'T SOURCE <br /> Building type: )ogle Family Duplex Townhouse Multi-.Famil El c .•_ -- <br /> T •- of Pro'-ct New Addition <br /> Commercial • -',/ ,�.• , <br /> Addition Remodel Re.air TI. Si'.n _ S.tinkler Dem.t 'o <br /> DESCRIPTION OF WORK(additional space provided onthe back). / , `/� . <br /> eeA111 CV-e—- °(' teplaa_ 1 7,--4,1,,, 7 Irplitrzz. <br /> i Aair_J'- (SJ, <br /> MECHANICAL PERMIT APPLICATION <br /> PLUMBING PERMIT,APPLICATION <br /> Type of Project flew Adds Alteration_Repair <br /> Show Number #1 of fixtures <br /> Type of Project tlew�Addrt Alteration Repair <br /> A/C—air handlin• units Show Number <br /> Forced airs sterns Toilet <br /> • . Bathtub <br /> • <br /> heater Lavato wash basin <br /> • <br /> iniummimmemmiimunimilii Gasfire•la Shower <br /> FGtchen sink&dis••sal <br /> Clothes d sr Dishwastler <br /> Ran•e hood miniminamizmurmainiClothes washer <br /> Exhaust fan <br /> Sink service/bar/rno. etc_ <br /> _ Bacicffow•reventer <br /> Boiler <br /> 11111111111111111 <br /> Re -•oration iimin Drinkiimmenumma n. Founfain <br /> Woodstove inumminFloor drain <br /> Ductin• <br /> Other Roof drains <br /> SPRINKLER 1 SUPPRESSION SYSTEM Medical Gas <br /> Other. <br /> Number of Heads • <br /> I herebyOther. <br /> y that 1 have read and examined this application and know the tame to be true and correct All provisions Of laws and orrfnancon govemfng this t <br /> with whe[herSpedtied heretrt or not_Tho <br /> 1 the auby granting of a Penna does not prswuma to give authority to mutate or cancel the typo of work co st comp <br /> authorized the owner of this property to pSlate n Of airy other state 7local law <br /> perform the work for which appfption s made and I ca regulating construction <br /> /► � / / comply wah the State Contractors Law 18.27 RCW and 29S2Wa wRC. <br /> r; er/A uthorized Agent-tgnature <br /> Date <br /> (Revised 9/2014) <br />