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Oct. 3. 2013 12:02PM EVERGREEN STATE HEAT S AC <br />No.8Sb0 P. I <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUiVIBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St Everett, WA 90201 125.257-8810 FAX 425.257-B657 \rvAv.everet(sva.crg <br />APPLICATIONS ARE ACCEPTED FROM 8 AST TO PM ice-C)3-I <br />SITE -ADD s Seahorst d'\te <br />L�tgL <br />PROPERTY TAxA <br />Plr W.tlIF <br />�l�_ �On <br />n <br />Lol Now_ (attach wpy of lc�glmal desrnpl'cn) <br />LEGAL fa ne,e cccs'fu[hon: St:on Pls�suh/C//rt�]Ulogy_� <br />y, <br />OVINER�U li7 I V <br />Phone/E+nal �Sg <br />Addre9e L �- 1� <br />/.1_�Z�yy7__ <br />CilylSlel/d2iP ' ` D`� <br />AI'PLICANT�—O.mer _:Ivmefa Ag^rt _CantraUcr _Ccntrodoye Aarnt _tenant ltro,tc��,+dtt bra a.va.m rm-...+e w..ue�..,u L,: e.pR) <br />CONTRACTOR CUCR,-,VUQ'( STATE,SrKCr IAML- L & I Luc. i EvE1e&SS o270'f COG Bus. t-Ic. r. pp Sri <br />Addt— 2(2D PAUGIe- AUf.CfJKMLdA 99201 PMn�Trnwl ef2y 252-91/L! <br />TENANT BUSINL53 UAW. <br />GUMACT FOR PERMIT <br />FMnrlE-mall <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRTE OF WORK D <br />Existing Uso of Bul!.ing __ _ HEAT SOURCE: <br />Proposed Usis �off Building- GasA Electric__ Other-- <br />Bulldingtype: y,/_ Singlo Femlly _Duplex_Tcvmhouso _t.lull6Family —Commercial <br />Typo of projdcl: _New _Addi➢on Remodel _y_ Repe(f T.I. Sign _Sprinkler Demoll➢on_Change of Use <br />DESCRIPTION OF WORK (add�tcnel spats pmmndod oo the beck): <br />�0 ®p 005 -f�(WCC Chan9Cout <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: —,Pew,.._Addn _llteririAJiepolr <br />Show Numhar fo) or flxluraa <br />Typsct ProlocP _New_Addn _Ahnrovcn_Rapalr <br />ShowNmnher (9) or Nlrfures <br />A/C-- elf handllnq unhc <br />Toilol _ <br />_ <br />Forced air systems <br />Bathtub <br />_ <br />Gas piping <br />lavato wash basin <br />Water hoatnf <br />' <br />Gas Emplace <br />I Kllch'ort slnkR dlseaal _ <br />Gas rango <br />Dishwasher <br />Clolhcs dryer <br />_ <br />Clolhefl \vaslter <br />___ <br />Writer heater <br />l <br />Exhaust fan <br />Slnk (sorvlcoroar/mopralc <br />Host um <br />Backllowprevenler <br />urinal <br />Unitheater <br />_ _ <br />BailerDAnking <br />Fountain <br />_ <br />Refrl oration <br />Floor drain <br />_ <br />Woodslove <br />Groasoln <br />Dueling <br />Other__ _ <br />Roof dralr s <br />Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />Other: <br />Numberof Heads <br />Othor: <br />I homby "rely [hot I have read and atsmhed Pb sppraWn and Mine ee same to it Lve and mnetl. AT MoNapnc or Irws and vNmsnus govetnTg thro nPe trwtdt\Vrl be mmpad <br />l,M r+tdlher 1pc i5td hctce or nof. The gm -Ming OF a permit Otto not presume to r1Ne aulhany to,doWs at cancer this pmNe'an or any other trots or bul for, reyutaMg too 'b on <br />That l ama ViaMed by the owner of lh✓- pmpary at pedem meweek rotwhM rpp9wtkr 4 msds and l amply W.Lh this Clots Conbadors Law 1827 RCNand 296.2adA VIAC. <br />A#AVL <br />ID -3^ 15 <br />OvmadAuthorlro ant Slonature Nice (Rovlsed 6r20r2) <br />