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10l12l2012 15:52 BEL-RED NEATING 8 AIR COND. (FAX)425J935354 P.001f002 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/S1GN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, [verelt,WA 98201 425-257-SB10 FAX 425457-8857 �+nvw.everethva.org <br /> APPLICATIONS ARE ACCEPTE�FROM 8 AM TO 4 PM <br /> SITEADDRE55: � ^ � V �E PROPEQTAXq nb PERMIT� � ��� <br /> 04 V rl. <br /> IEGAL lor new eonslruclion: Shon PloVsubd�vision Loi No._ (atlach copy of lonp leB�I deacdption) <br /> OWNER U - rB �Uri�e� Phonol@-mall G� � �v 1 `� <br /> Address ���oc � 1'\V�'. �•7� Li:y/51aIC/Zip �JeC'��1 W f� 'lU.�u(� <br /> APPLICANT: Ownvr OwnofsAgent �Contraclor Ceniraclor'sApenl _Tenan11��4��'+•+�enn.mam�m�mmvae..�arioeowa�i�meip.cc) <br /> CONTRACTOR P � .Y' C ��� - o S L 8 I LIc.B [L C�'I � pK COE Bus. Llc.#�`ti�0 <br /> ACtlress �j y i�� �'� - `�7��PhonefEmail L��, 3- 353 <br /> 7ENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> Phone/Emnil <br /> BUILDIN6 PERMIT APPLICATION CONTRACT PRICE OF WORK 58007 <br /> Existing Usc af L'uildln� rS.�=C�r�`P,r��-,�`,-��Ct.� 1 HCAT SOURCG <br /> Proposetl Use ovl�uildlno ,�e�s�` �'> Gas_ Elor.lrx Olher_ <br /> BuiWing type: L Single f-amily _Duplex_iownhouse _MuIt6Family _Commercial <br /> T e of �roeGl: IJew Addilian Remod�l Repair_T.L_Si9�_Spdnkler_De!nolillon_Change of Usa <br /> DESCKIPTION OF WORK(oddit�owl s0�re provlded on the bnck): <br /> a-ns���:,.5 a duc�\csg 1�eo..-�-� urn� . <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa of Pro�ect: _Nuw�Adtln _Allorallon_Repalr Type ol Projacl: _New_Addn _Allerallon_Hapalr <br /> ShowNumbcr(blo/fi.turos SM1owNumber(# olfixturas <br /> � NC—air handlin unil5 � Toilnt <br /> � I'orced air s stems I Balh;ub <br /> � Gas pipin La�atory(wash basin) <br /> Wnter healer Shower <br /> � Gas fie lace Nitchen sink 8 dis osal <br /> � Gas ran e Dishwasher <br /> Clothes Jr er Cloth�s washer <br /> Ran e hood Waler healer <br /> � F.xhaustfen Sink <ervice/barlmo fetc. <br /> Heat pump Oackllow prevenler <br /> � Unil heater Urinal <br /> �oiler � Drinkin Pountaln <br /> � Relriqeralion Floor tlrain <br /> i � V✓oodslovc I Gicase�rap <br /> []uctin I Raoltlrains <br /> I Othcr_ � Medical Gas <br /> SPRINKLER/ SUPPRES�ION SYSTBM otner: <br /> � Number of Heatls Otlier: <br /> I ImfCby cetlily Ih�i I Mvo taa0 nnC momNnE Otle appiwlion dnC�nOw Iim snmOlO Oa hua�nU cortacl.All pmvlsiona nl Inws nnC nnLnmcov poveminp Nb lyye al wwk MII be cwnplwJ <br /> w1h wtrolAer ipen0ed ne�vn or nol.l l�n prenln�p ei e(onnll�one nol presume lo B��o nul�otlty lo vlolale oi rancel inr pmm�on ol any clher stele of bCel lew mpulalinB��^sW clmn <br /> t nal I mm�ul�nnrce Ey Ine awner ol inn PropeitY�O OBdOim Iho waik IOI�v�lc�Oppic�lbn le mn0e one I Compp wnn I�v Slo'•CannoUarx Law 1 tl.27 RGIV unC 2U0.20aA WAC. <br /> c�;��(n� ,U-�- �o��a lao�a <br /> OwneqAut�od:etl Agent Sig nalurv Date (FeviseG fi20 tt) <br />