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07/05/2016 TUE 9: 23 FAX Faet water Heater ZI002/003 <br /> 'ERMIT APPLICATIC U5 05S - <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www,everettwa.org <br /> SITE AD ESS: PROPERTY TP b— PERMIT <br /> NI 1 <br /> LEGAL for new construction Short Plat/subdivision Lot No. (attach copy of long legal deecrlption) <br /> OWNER PIWI t Ai w {t e? i Phone/E-mpl� � � <br /> all q � 01p6 <br /> Addressr 5• �f !V City/State/Zip f'� I I60 , 3 <br /> APPLICANT Owner Owner's Agent Contractor Contractor's Agent Tenant Oneel provide a letter or conb.Rt from(he owner to Uo wadi in sir,apace) <br /> CONTRACTOR %4 V , ATe� . .i_--f--_,:g.. State Lic.# A yAi p J g CIL Bus. Lic- • • <br /> Address l I N c,e_E p.�1/Ut-t' s- C _p{',/t.Q.P C W P I r Phone/Email ,95(t1� C� <br /> TENANT BUST 1✓SS NAME / ��CONTACT FOR PERMIT r ��� l�tAitf rn <br /> NLE- <br /> hone/E-mail ..;Lt.- l� �i., . / F (. Wt� . ,,,,&.40e,„- <br /> . <br /> BUILDING PERMIT APPLICATION R CONTRACT PRICE OF WORK ,,,,, <br /> Existing Use of Building .. i HEAT SOURCE: <br /> Proposed Use of • •e_ SGae Electric _ Other <br /> Building type: _ - DuplexTownho. _ - Multi-Family Commercial <br /> T. •e of ■ro ect: Now Addition Remodel "e el .. T-i. Sion Sprinkler Demolition • Chane of Use <br /> DESCRIPTION OF WORK(additional space provided onrrrb •ack) <br /> PjW -6 —c /roAIk bus - ke-00-e4--- <br /> MECHANICAL PERMIT APPLICATION - IP - MBING PERMIT APPLICATION <br /> Type of Project: New Addn Alteration RapaIr Type of Pr.jact New`Adds __Alteration Rep: <br /> Show Number(#)of f/xeiiroe She umber(#)of fixtures <br /> NC—air handling units Toilet <br /> Forced air systems _ 11111.1kathtub <br /> Gas piping . story (wash bas <br /> t Water heater Sho or <br /> Gas fireplace Kitche sink& . sposel <br /> Gan range Dishwas' :r <br /> _ <br /> Clothes dryer Clothes w:,�-j�1 er <br /> Range hood Water ha:ter <br /> Exhaust fen R Sink(s=•rvicelba op/etc.)_ <br /> Heat pump Bac 'ow prevente )Inside bldg4 <br /> Unit heater Ur al <br /> Boiler P inking Fountain <br /> Refrigeration Floor drain . <br /> Woodstove Greeee,trap <br /> Ducting <br /> Other �-- Roof drains _ _! <br /> Medical Gee <br /> 'te ._ ._ <br /> t :. - • I SUPPRESSI. SYSTEM 1 Other: <br /> -. Nu • ._ -7..:. Other; <br /> I hereby certify that I have read and examined this appllcadon and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be comp <br /> with whether epaclfed herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any oltler state or local few regulating construction <br /> That am out prized oy the owner of ails operty to perrorm the work for which application la made aid I comply with the State Contractors Law 18.27 RCW and 258200A WAC. <br /> 10AIL„m ,.-- ibbAt _._-- . ..– ( (,) <br /> Own:r•uthorized Agent gnature Date <br /> (Rev/sed 4/2015) <br />