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� 20 l:O��Z <br /> PERMIT APPLICATION <br /> BUILDIMG/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-A810 FAX 425-257-8857 www.e/v,erettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM v EJ�D S` � � <br /> SITEADDRESS: 6ZS �IOTHPL PpOPOR�(���Q003900 PE MITY _ ��y <br /> U <br /> LEGAL ior cew co.�strucdcn Scon Piavsuua���s:on Lo;No (attacn copy o�'cn9 ie9a!aesa�,oi�oc� <br /> OWNER �IVI HAGGLUND Pnone/e�maii 4?5-876-?507 <br /> aoa�ess 6?5 40TH PL c�ryrsiate�r� EVERETT, WA 98201 <br /> AFPUCANT: Owoe� OwnersAg?nt X Conlraclor ContraclersAgen; 7enanir�..�„io���ea,um�cim�so��i�c.mr.eo.-o��cr..c.+��-.wc.,u:� <br /> coNrttpcToa �tM COMFORT SYS'I'EMS L&I Lic # iYti�IC011N1C934B4 COE Bus Lic A 054290 <br /> naa�ess 18103 NE 68TH S'I',G200 RED,110NP 98052 ano�e�ema; 42�-881-7920 <br /> TENANT BUSINESS NAME CONTACT FOR F=RMIi <br /> AD4ANDA EISTER <br /> P�onClE�myl 925-88I-7920 <br /> BUILDING PERMI7 APPLICATION CONTRACT PRICE OF WORK 14,837 <br /> Ezisiing Use of 0wlding HEAT SOURCE <br /> Proposed Vse of Building Gas_X_ E�ecmc Oiner <br /> Bwldmg type. 1: ngle Family _Duplex_'ownhouse _M1lulti•Famdy _Commeraal <br /> T pe of Oro ecl � New _Add�tion Remodel Repav TJ. Sign_Spnnkler Demohtion Chan e ol Use <br /> DESCRIPTION OF WORK�addrtm�ai space pro��aeo o�me eackl <br /> REFLACE GAS FURNACE WITH h'EW, LIKE FOR LIKE AND 1NSTALL NE\V HEAT PUMP <br /> MECHANI AL PERM APPLICATION PLUMBING PERMIT APPLICATION <br /> 7ype ol ProJect� ' New_AEAn _Alteralion_Repalr Type af Pro�ect: _New_AtlAn _AqeraUun_Repalr <br /> Show NumDcr(p)ol lirtwes Show NumDer(p)al liriures <br /> A/C—air hantlling unds Toi!et <br /> Forced au 5 slems Bathtub <br /> Gas iping Lavato (wash basin� <br /> Water heate� Shower <br /> Gas fire Iace Krt hen s�nk 8 disposal <br /> Gas r nge Dr hwasher <br /> Clothes dryer Clolhes washer <br /> Ran e hood Water heater <br /> Eahausl fan Smk(service/barlmopletc.) <br /> Heat Oump 8;ukllow preventer <br /> Un4 h.aler Urinal <br /> ! Oa�ler _ Dnnkm Fountain <br /> Relnqeration Floor dra�n <br /> Woodslove Grease trap <br /> Ductin Rool drains <br /> Olher ldedical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM O�her <br /> Number of Heatls Ulher. <br /> I�ereOY unM���I have reaa anC e.nmineE N�s applicauon nnE�naw Ne same lo be Wo nna Cartecl NI D�+�vona o/Ww,enC artliwnces goveml�0 tpa pDe ol nroh mn be ccmp`etl <br /> wf.�vA�eNe�50�feC�ere�nornol T�eB����^nofapemiitEoe5not0�esumolo6rvoau'IiontylOviolaleorcanCell�epmn5wno10nyol�e�5ldleorlocalbwreOWal;npco�s!n.�Lon <br /> T�al I em eulnon[ Cy Ilia mner ol Nis pmperty lo pe�orm Ihe wo�k iar w�¢�apC'���4on Is meEe untl I comp'y w::i l��o$lute CanVacro�s Ww 1B 4]RCY!an0 296 2GOA WAC <br /> Owne uthori etl Ag Signature Datc I � (Revised N2017) <br /> � \''�__. <br />