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MAR/13/2015/FRI 10:23 AY. Greenwood Heating FAX Ho.206 462 6216 <br />P. 001 <br />PERMIT APPLICATION <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-Sb57 wvivi.everellwa.org <br />APPLICATIONS ARE ACCEPI ED FROM a AM TO d PM <br />SITE ADDRESS: <br />I Oq IQ - 3T-d 1� 1-'SC <br />PROPLRIY TAX a <br />0O 007-800 <br />P ❑M11R <br />- <br />LEGAL tar now oonstmctlon: Shon r"Atlsuhrfmilon Lot No._ (attach copy of long tegal descdPtiop) <br />0 WNER Tvlan L7l M <br />Pnone/E mtul TSB 35 3 —6-1 C)O <br />Addinss f c- <br />ary/Statazo Vert!-++ QA 9 ? Q <br />APPLICANT: Owno: Ownors Aglaa CCntradcr Contractors AgBm Ternrd(mun Droner elax•vtwsni!-amrnc o•-c�uoc w5nna uanl <br />CONTRACTORv -V A�/t . <br />L && IIptic. # K/� Bus. Lic. tl <br />Adit s 4LJ �i ,1 St I.17A "'I O1 J'1 <br />p� �COEE <br />Pnar.a.'Emnil (Q p'7-101 0 <br />TENANT BUSINESS NAME I <br />C1O�NTT�ACT FOR PERMIT oz'n1e%3b&cr�eert000d Kea <br />Pn�JEUZ.IFN It IV <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK SOON <br />Existing Use of Building �i\hQ • I1.1 HFAT SOURCE: <br />Proposed USe of Building—" GeV ElocUic 11- O;her _ <br />SUllding type: _ Single Family _ Duplex _Townhouse _ Mue-Family _ Commercial <br />Type ofproject; New Addition Remodel Repair T.I. SI n Spnnitler Demolition Change of Use <br />DESCRIPTION OF WORK (eddhonal space pwoldsd or; ma back) : <br />\"S1AIl &C.VQ-SS \nl ?W-A(). Mt7- Zq1. <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type ul Project: ayNow_Addn _ Nkration_Repalr <br />Show Number a of fxture9 <br />tyPnot Proje,;t! _New_Adan _Alturabon.Repair <br />Show Nrpntnf p or fixtur <br />A/C-airhondlingunits <br />Tollet <br />Forcrid airs 6toms <br />Bathtub <br />Gas plpinp <br />IavatO wash barrio) <br />Water heater <br />Shower <br />_ <br />Gas fireplace <br />Kachon sink & disposal <br />Gas range <br />DlshwtLsher <br />Clothes dryer <br />Clothes washor <br />Range hood <br />Water heater <br />Exhaustfen <br />Sink (sorvrceNar/mop/eto.) <br />Heal pump <br />BBc"oW preventer <br />Unit healer <br />_ <br />Urinal <br />Boller <br />Drinking Fountain <br />Refrigeration <br />Floordrain <br />Woodstove <br />Grasso trap <br />Ducting <br />Rocl drains <br />Other_ <br />Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />Other. <br />Number of Hoads <br />Other: <br />I hamby ctrny IAat I have read and ..mined thu applaelion and know the gene to be nua and coma. All provulom at lava and mahancea riovPmFg the rive of work we be connoted <br />with whethor specfied hore'vi or not. The grarnang of a r.nng doc nor o aguira to give aamonry to violate or canal the proveion olany crier slog or lout uw reguwng cy tnv✓�m <br />The lam aaV, nzit by me ow of the,propony to parlor Me v for which applra nib made and I comply Win me*robCan"ctvm Law t B27 RCW and 206200A WAC. <br />Ott( /A thor'lad Agent Slgnatury Date (Revised 62012) <br />