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Feb.16. 2015 11:22AM <br />No. 8491 P. 2 <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUM3ING/SIGN/SPRINKLERJDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-851C FAX 425-257-8857 %"Yw everetRva org i <br />-D, r/— J5 <br />SITE ADDRESS: <br />H eu; <br />PROPERTY TAX It <br />n w6o nOZ- <br />PERMIT <br />JZ <br />LEGAL fcrnp ccnz!N;tu.n. Snort Plausux,vimen <br />Lot Not_ (attach copy of long legal des Pbw) <br />OWNER 6Z <br />Ph. E-mad Ll73,''� -"1 <br />d=s q%Zi kAI \JIL,t,V 7 <br />City1SL3d'zp ',;.. 1,1i r_^ O <br />APPLICANT: O,wwer _Ovnhis Agent ),Contmctor Conlr2clors Agent Tenp"Ilmrrp•o,mas.c:c e•rnarr-.1 re anc•aao.c,a nuc iW-) <br />CONTRACTOR bS ' oQ <br />State Uc. N ,) CK (A JDk- City BUS. Uc. N <br />Addru.s ;; aY eTl­ Cy e-ik 4 tkC <br />PhcneJEnnad q T _ - Li�4 0 <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />1Pnc'.Wr mad - lil --('I D <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existing Use cf Building ^ _ .. _ HEAT SOURCE: <br />Proposed Use of Building Gas • PJectit Omer <br />Building type: . Single Family _ Duplex Townhouse _ MulltFami!y _ Commercal <br />Type of ro'cct Now Addition Remodel Rau T.I Sian Sprinkler Demolition • Change or Use <br />DESCRIPTION OF WORK(addldonal space provided on the Decal• <br />41 <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Pfojocb. _Now_Addn YAllomtlon—Repair <br />Strew Number(p)d(Nxfuras <br />Typeol ProtecL _Now_Addn _Alteration _Repair <br />Show Numberrp) or hxfuiras <br />A/C - air handling units <br />Forced airs stems <br />Toilet <br />Bathtub <br />Gab piping <br />asin <br />Water healer <br />Gas fireplace <br />Shower <br />Kitchen sink A disposal <br />_ <br />Gas ran o <br />Dishwasher <br />Clothes dryer T_ <br />Rant o hood <br />Clothes washer <br />Water healer <br />Exhaust Inn <br />_ <br />Sink servlcelbanmo rote <br />Hxat utn <br />Dackltow prownler <br />_ <br />Unit heater <br />_ _ _ <br />Urinal <br />Boller <br />Drinking rountaln <br />Roln eration <br />_ <br />Floordrain <br />Woodsiovo <br />Ducting <br />_ _ <br />Grease trap <br />Roof drains <br />Other <br />_ <br />Medical Gas <br />SPRINKLER . SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Otter <br />I hereby wU•y mat I have mod and o, minod mu wiximLon and Maw, me came lawn a sed carei NI previsbns of laws one era[A3AWa govrlatg thls hya Of non,wl De comp <br />wirew emerspedaed hemin or not The gmnomg of a permit does not preau mew gh'a oumomy to vollle ormnccl the Pft%";oo of any om01`3I6U or local law regulating consimc-tin <br />Zzmram^ <br />Broad by to owner of Nd pmparty to pera m me wen forvmr,A^appraoon is an ado and I wmpb mil, the slate Ccnuecom sew 1817 RCW and 296100A WAC. <br />uthorizod Agent Signature Dato (Revised 912014) <br />