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01/09/2015 FRi 12:46 <br />FAX Peat water Heater <br />0 <br />PERMIT APPLICATION <br />Zoo $/c21 <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 93201 425-257.6810 FAX 425-257-8857 www.everettwa.org <br />1-or-lS' <br />SITEADDRES$; <br />23 D V - s r✓ <br />PROPERTY TA <br />ZU 400 <br />P RMIT# <br />- 0 <br />AL for now construction: Short Pllal/eubolvlabn LOI N:.___ (attach copy of long legged description) <br />r <br />�OWNER M�Iv �V <br />Pnono/E-mad <br />Z'J " <br />4fi4.0 <br />�—�Cyr$tele2lpgJacl`tl WA- q 2 <br />t Address <br />q APPLICANT:_Ownor _OwnMors Agent �,Cnc nlraewyr�_Convaelofs Agent _Ten�rant lm:.�n�)wel,+Imeal+r(ro�f{w{/nwfrvm me o»nrrroao.a�em mjr, w�xjal <br />I CONTRACTOR �AC Wg1/'1 Ip��i1/�Z/I�l/I r`/ • F-' Stale Lic. # I� I +'� `I � �I o'^L"IlY BUt6-.LIC, # 1150" 3 <br />p <br />Address II l! J �� • �+I `rV" Foy / � �c-i m, <br />P nerE+rriaJ ak <br />j .� j 1 yr <br />I TENANT BUSINFSS NAME <br />CONTACT FOR PERM <br />/ <br />(y151V& <br />o <br />phonelE.mallr <br />PPLICATIO <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />iNy <br />Existing Use of Building �r6'r�V ��Y`� HEAT SOURCE <br />Proposed Uau of Building Gas Electra Other <br />Building lype� I Single Family _ Oupiax _Townhouse _ Muni -Family _ Commercial <br />Type ofproject: New Addition Remodal RepaIr T.I. Stan Sprinkler Demolition Change of Use <br />DESCRIPTION OF WORK (aedrtloner apace prov;dda on the back) <br />gwo ve Mr p VLC:: ftt- &t kS W nug— Ni Ai i t r6 IN CA I S T1 N(�1 <br />;7 MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typo of Project: <br />_Now _Addn _Alteration @pair <br />Type or Projodl: __NOW <br />_Addn _Altarntlon _Repair <br />Show <br />Number o//lxfuroe <br />Show <br />Number o/Ilxtoroa <br />_ <br />A/C - air handling units <br />Toilet <br />Forced airs slams <br />Bathtub <br />Gas piolnu <br />Lavatory wash bnsm <br />Wafer heater <br />Shower <br />Kitchen sink d disposal <br />Gas fireplace <br />GAB ran a <br />Dishwasher <br />_ <br />dryer <br />Clothes washer <br />_Clolhos <br />Filings hood <br />4 <br />Water heeler <br />Sink 6ervlco/bar/mo /otc. <br />Backllow reverter <br />Exhaust fan <br />Heal pump__ <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Founlaln <br />Floor drain <br />Refri aratlon <br />Woodslovo _ <br />Ducnn <br />Grease Ira <br />Roof drains <br />Other <br />Marilee/ Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />other <br />Number of Hoods <br />Olhar <br />I hamby <anJy Oral I hevo mad and eaoWned thie OPPJaadon and know the same lobs Due and urncl.AOpm h,Dma of laws and ordinances gommn'na this IIDe of wort + tl bo camp <br />w,O, whether specified heath or not. Thaa graanOna rR h el a permit does not presume to awe eutally to vblato of cancel the piovlebn of any other stela of to col low regro ukUng nsiDuedon <br />I6m oW Th honaed by the / prop <br />aMy N podothe wOd (01 wh;Ch 0 � QC91lon ie mesa end f comPY wan the Stale CONrecton law to 71 eCW and 200 200A WAG. <br />Ownar/Aulhoilead Agent 13 gnalure 1 late (Ronaod 912014) <br />toM <br />