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p, �2 c �� �c � 1 . 1 ' <br /> a: . � , <br /> Payn�en� uY N�����e. <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMR SERVICE5 �t'- /D— I Z ; <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810-FAX 425-257-8857-www.everettwa.org <br /> APPLIGATIONS ARE ACCEPTED FROM 8 AM TO�PM ' <br /> iNOPERn'TAI(N ERMITM� _OI i <br /> SITEADDRESS; OC416600000400 <br /> 510: Seahurst Ave <br /> LM N0._ (atlath cOpY�long legal tleccnpuon) �, <br /> LEGAL lor nevi conslmcUon' Short PiaVsuDOrvision , <br /> OWNER Jonathar, Shelton <br /> Phone;E-m6J d'F-";13-Fj[3/'.3:•el:cr.@'.aa:e�cccs.[ut:icnaa.cU.^. <br /> ada�ase �109 Seahurst Ave QrylStale2'ry Ecezett, ���� 9g2�3 �I <br /> CONTRACTOR =Y1—CGUnty P'_umhing �g�uc.a TRiCGP'"510K1 _ <br /> Address <br /> Anacortes, 'v7A Pnone�emait 350-420-5�53 <br /> TENANT BUS�NESS NAML CONTAGT FOR PERMIT <br /> PMne.'E-mail <br /> BUILDIN6PERMITAPPLICATION GONTRACTPRICEOFWOftK 52, �00 <br /> HEAT SOURCE: <br /> EKisting Uso of 6uilding <br /> Gec E�ec1Yc OtAer <br /> Proposetl Use ol8uilding <br /> puiiding type: �Singls Famiiy _Duplez_„7nwnhouse _Mulli-Family _Coromerci2l <br /> Type of proJect: _Ne�+ _�dtlilion _Remodel �Repair,7.1._Sign_Sprinkler_DemO�ilion_Changa o1 Use <br /> Descrf0�ion ol W Ofk latltli�onal spa:e prwided on fha becF)' <br /> Removzl of old, electric water heater and installa_tion of new water heater. <br /> Ke�•r heater will be relocated 15 feet south of existing electric heater . <br /> Have you startod workinB without a p.•mit? _YGS �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBIN6 PERMIT APPLICATION <br /> Type of Project: _Naw_Addn _Altentlon_Repalr Type ot Nro'pct: _New_Addn _AU�r+Hon_Repalr ; - <br /> Show Numbor b ol NMuns Show Numba f e/flxturei <br /> NC—air hanAlin unils I Toilet <br /> Forced air s�siems Balhiub <br /> Gas i in Lavat wash ba � <br /> Wa[or hnater Shower <br /> Gas fire laco Krtchen si . dis osal <br /> Gas ran e Dishw er <br /> CloNies d cN CI es washer <br /> Ran e hood ter healer <br /> Fr.�aust(an Sink orvic�lbar/m /otc. <br /> Heat um U2ckflo reventor <br /> I Und healor Unnel <br /> I r��er Drinkin Foun <br /> Refri erafion Floordrain <br /> � \Noodstove Grease tra <br /> �uclin Roof drains <br /> Otner New exhaust duct i Med�caiGas <br /> SPRINKLER 1 SUPPRESSION SYSTEM Other' <br /> I Number n(Heads I Olhe�: <br /> i hureby ceh�ty Inat I have raatl an0 otamined this application end know fhe seme to be lrue a�w conect.Ali pmvicions W lao,s and ordinances goveming <br /> this lype oi worN v.ill be comptied wth v.hetner specif�M harein or nM.The B�Ninp ol a pertnit Ooes not p�esume to Bive aUthxty to violefe or�ancei <br /> Lhe pmvislon of any other s�ete or lowl iaw re6��ating construction or the pertartnanca o(wnShucUon.That I am autBaizaO by Ne oxner of thls propeny <br /> lo pedmm the v.vr�for vA,lcn appi�ceuon�s meae ann I mmaY with tha State Contractas Law 18.:7 ftCW and 296.200 WAC <br /> O lAuthorizetl Apenl Signatuw Oate (Re�lsod Z2017j <br /> I <br /> ��� <br />