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09I20t2012 10:59 BEl-RED HEATING &AIR COND. (FAX)4254935354 P.0021003 <br /> PERMIT APP�ICATION � <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLI710N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320D Cedar S[., �verett, WA 98201 425-257-881 D FAX 425-257-8857 www.everetriva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM U •— e�S" I7i <br /> SITEAO�RESS: n^ PPOPERT'TAl(N PERMI, n —Q�� <br /> �011_l � � Q� ,�� <br /> LEGAL lor nmv ranslmction� Shotl PlaVsutrdnrsion�=vetly E\e'���5��� �ot No._�Q (oCnch copy ol long legal Ooso�pt:un) <br /> OWNER �A.-1-r�c�a 5�� aho���e-man 9a5 5 —$131 <br /> Atldress 'T ,�_ ��a�s�a�e�z,P Ever w R q 2D <br /> APPLICANT: Ownor �OwnersApen� �I:onirnctor Contrac�oYSApent Ton�nl�m..irrt.�aui.na:�<oo+..inommao..�aiieaa..onmin.�w�.t <br /> CONTRACTOR 1U','�(7Yl �s i uo.tt"P��'R£H�101 D1C COE Bus. Lic.# 9(oQ <br /> n�tlress � � {�'� ` V _1 O W `l0 I� PnonMEmail q�5 —� 5 <br /> TENANT BUSINESS NANIE CONTACT FOR PERMIT �a�l /� .,Son <br /> LP <br /> rho�oie-�,,:�i 5 -535 <br /> BUILDING PlFtMIT APPLICATION CONTRACT PRICE OF WORK �$ 5`�a(o•�9 <br /> Fzisling Use of E3uildin9 HEl�T SOURCE: <br /> Proposed Use of Buildin� Gas __ Electnc � Other_ <br /> �udding typo: �Single Family _Duple+�_Townhouse _MWti-Family _Commercial <br /> T pc ol pro�ect: New Addition Remodel Repair T.I._SI n_Sptlnkler Demolitlon_Chan e of Use <br /> DESCRIPTION OF WORK ladditronal spacaprov�Acrl on fha bacA): <br /> ��s�\\;� a dvcklcSS hcxii- n�+y.p ��r 1�U� t'eba�G <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type at Prolect: }�Now_Addn _Altorallon_Ropalr Typo ol Pro�otl� _Naw_Addn _Allora�ion_Ropair <br /> Show Number(N)ol flrtures SIIOw NuTCa�(AJ of fl�'tulPs <br /> Nl;—au�andiing units 1 Toilel <br /> � Forcetl air s stems Oathtub <br /> � Gas pipin Lavalo (wash basin) <br /> Water he�ter Shower <br /> Gas fireplace Kitchen sink 8 disposal <br /> � Gas ranne �ishwashcr <br /> Cblhes a er Ciolhes Washer <br /> Ranq� hootl Watcr heater <br /> Exhaust lan Sink(service/barhnop/etc.) <br /> Heal�ump �ackllow preventcr <br /> ! Unil he.der I Unnal <br /> ! Boiler ; �nnking Fountain <br /> Rclri nratirni � Floor tlrain <br /> � W000stuva Grease tr2p <br /> � Uucun I Rooldrains <br /> Oihcr Medical Gas <br /> SPRINKLER / SUPPRlSSION SYSTG'M � otner. <br /> � Number o�Heads Other: <br /> I lie�ehy roiNy Ilwl I�avc ruod anJ oxncneU I�if applWLon nnJ Mnow Ne W me la�a We ond conucl.NI pmvlilona ol Inws enC ob�nanres pcvem�.ny Nis type ol wW k�II�e comp:ca <br /> o�i�,M1 wtmlM1a�specJmG hnruim m�ut Tlro pmninp ol p pElll�ll EOef no�pmf umo t0 O��e Ovl�Onry 10 vNlate o�cnncel Ne previYon ol eny oTe�s�ate nr Wcul Ww mqula4np cunt W c4on <br /> i mE i nm rminomed py n'�e owru•e el aIn propmry tu pufortn t��wod tor wh¢ii nppEeatron is mnuc anJ I eomplY�^t�t�a SUte Commeton Lmv 10.:i RCW arM 2B0.t00A\VAC. <br /> �� (�� 91r�/ia <br /> ownonn�mo�i:aa nao��sianam�o UNc (Fevisetl GQ017J <br />