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Oct. 6. 2014 11:22AM <br />PERMIT APPLICATION <br />No.7242 P. 2 <br />BUILDING/MECHANICALIPLUMBINGISI13N/SPRINKLER/DEIIIIOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 . 425-257 8810 — FAX 425-257-8857 — vAW evetettwa.crg <br />APPLICATIONS ARE ACCEPTED FRO(d B AM TO 4 PM io -06- I <br />SIT E ADDRESS' <br />u <br />I PRCP ZTAXA <br />�n ��-A 0 <br />PERI,IITe <br />LEGAL for new cunshocuon. Short Plat/subdivision Lot No _ (attach copy of long legal descnp6on) <br />OWNER v_ • a '•I <br />Phcnc'E+ms1rnn��-/ <br />Addro:: %v. d <br />CONTRACTOR (9';5 ` - L s� - e`1'�,..t <br />CltyfStatelLin _ C: a-Yc- h ; <br />L 6[7IILLic. e <br />Address Q_t <br />TENANT BUSINESS NAME <br />TAGI FOR ILRMIT c�aa+.r', n) ;Sl^•z�"�''—�J <br />EJ V-J1j i, N. <br />BUILDING PERMIT APPLICATION <br />CON IRACT PRICE" OF WOR L4tcS 3- <br />Existing Use of Building S ie C-CAA& I y <br />HEAT SOURCE. <br />�"A" <br />Prnposed Use of Building Gas & F�eaAc Other <br />Building type: _`Single Family _ Duplex —Townhouse _Mutll-Family _Commercial <br />Type of project: New _ Addition — Remodel _ Repair _ T I _ Sign _Sprinkler _Demohlion_Change of �Use <br />Description of Work(additionalspecep+ovided on the back): r5wt bv.¢Jq) (not: �a,�.�,.C,_,.ra,A Q�`i y-u ryb Ct—' <br />C(^L4 +� sd«�.e 1� P"Vi-P - <br />Have you started working without a perm O _YES J-<-NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type. of Proloct: _&Now_Addn -Alteration _-Repair <br />Show Number (kJ of f VUM6 <br />tyoa of ProAct _Nnw_Addn _Alteration _Repair <br />Show• Number rig of fix(area <br />A/C -air handling units <br />Tollet <br />Forced alt systems <br />Gas pipet. <br />Bathtub <br />Lavotor wash asin <br />Water heaer <br />Shower <br />Gas fire lace <br />_ <br />Kitchen sink 8 dis osal <br />Gas range <br />_ _ _ <br />Dishwasher _ <br />Clolbos dryer <br />Clothes washer <br />Ranee hood <br />Water healer <br />Exhaust (an _ _ <br />Heat pump <br />Sink semcelballmopletc <br />Backllovt proventer <br />Urtif heater _ <br />BO let <br />_ _ <br />Urinal _ <br />Dnnkinp Fountain <br />Refrigeration <br />Floor drain <br />Woodstovo <br />Grease trap <br />_ <br />Ducting <br />_ <br />Roof drains <br />Other_ _ <br />Medical Gil <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other: <br />I hereby certify that I have read and examined this allocation and know the same to be We and correct . All provisions of laws and ordinances governing <br />this type or work will be complied wth whelf.or specified herein or noL The granting of a permit does not presume to give authority to violate or cancel <br />the pfov Ision of any Other state Or local law regulating construction of the performance of conshuellon. That I am authorized by rho Owner Of this property <br />to ppe1d0nn the vvork rut wh cn applicatIon Is made and I comply with the State Cenbadors Law 1027 RCW and 296.200 WAC <br />OwnerlAuthonred Agent Signature Data (Revised 21207 1) <br />CCt� <br />