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11/06/2�12 11:57 4257891313 SCIDN P.E4LTY GRO�P �AGE dz�e4 <br /> ( <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPf21NKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-25T-8810-FAX 425-257-8857 -tvtaw.everettwa oroy <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO A PM ���- (J�-- �� <br /> SITEADDR .SS: vROP[R7YTAXa �7� �� — <br /> � <br /> LEGAL lor ne.�censhu_Lnn Sl�on PIaJ;uCOimsion Lct 1w. (attach copy ol lonc leaal�esci�ctm�) <br /> OWNER �.�( tGvP� vnonc.�E-marl �_�r _ �3_�'A1� <br /> ,nn,l �L <br /> Atltlress ` e I I«/� �� L�'r�Sta'i'Zip � w � aO <br /> CONTRACTOR Dan;ka Plu¢bing S Contrar6np L 8 I Lic N UANIKFC916LQ <br /> Adaresx 3614 77ro Dr NE.Idarysv'lle.WA 49270 Phocr+'EmaA �75-335•3515!in;o@Car�rcacacc�n <br /> TENANT BUSINESS NAME CON7ACT FOR PERM1117 <br /> PnovME-maa »25-3353515 'm�o,.^^._itlaniiam.mn; <br /> BUILDING PERMIT APPLIGATION CONTIZACT PRICE OF WORK ssno <br /> Existing Use o(Building _ ____ HEAT SOURCE' <br /> Propesed Use ol Buildina_ _ Go3 Eleclric O:ner <br /> Builtling type: X Sinole Famiiy _Dupiux_Townhouse _Muiti-Famlly _Commorc�al <br /> Type of pro�eci_New _Atltlition _RemcAel y Reoair_T.I,__S:pn_;p�inkl�r_Demohtio�_CPar�e o(U5e <br /> �escrip;ion of Work(atlaifionalspaceprcvmedon fha La;eJ�. <br /> Swep oui waler b2a�er far 5�mii3/��. C <br /> �K J <br /> Have you started working without a pennit? � YES NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typn of ProjecC __New_Addn _Altrratinn % Rrtpair Type ol Project: _New_AEtln _Alteraiion_Repair <br /> Show Nunrber(#I o/f4 fu�es Show Number(d)o/li+furos <br /> NC—air han�iing unds To"e: <br /> Porced air s slems � ga;n;��y <br /> Gas pipinn I Lavatory(v;a;h basin) <br /> 7 lNatcr heater i g;���ye� <br /> � Gas freplace Kilchen smk&csnr,sal <br /> I Gas�an e Dshwasher <br /> I Clothes dye� Clothes washer <br /> Ranpe hoed l�'a;c healer <br /> Exhaust ,`nn Sink fsorvice;bdr/mo /etC.) <br /> I �'eal pump Back�ow c�evan'e� <br /> � Unit I;e�ler Urinal <br /> � Bci!er � Diic.vno Pwrlai� <br /> Reinger�hon � FIoOt tlfam <br /> I Woodsluve I Grease Uap <br /> Duc6n� Rcof drains <br /> Otnor____ _ j ASedca'Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> � Ni,mber o1 I+eads I Olhur, <br /> I�c«�by certi'y Ih:J 1 hovc road and examined Ilvs appl ca::i�ar,C knva�R�e same lo Ce Ime and cOrtect.All provisions of Ia�r3 artl ortlnances gcveming <br /> Ia,�ypc o!wo�h wJ!Ix ccmyhecl v.it��Mielher soeciPed tlerein or nd.Tne graNino ol a permit aoes nol presume to give a�lhonty to viola;e or cancel <br /> '�'��V'ovis.on c1 any otlie�state or iocal law ren.dating constmclion or t�e peAormance o�ecnslr�c6on.That I am aulho/�re����I�e rnvne�ol U s o�aFe�'�� <br /> _;.cAonu ihe wor4/cr w�!:h aFD�'calion Is matle ar0 I cert;ry w�th Ihe Sta;e Ccntraclo�s Law 16 27 HCtV and 29G.400 WAC <br /> I�.�t.v-� Yl.� G1 ���l.�- <br /> Owner;Auu�mizedAyanlSign ure Cate (Fevse�JNO!IJ <br />