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FROM :Evergreen State Heat & RiG FqX N0. :4252596E60 May. 09 2011 01:59PM P1 <br /> ( <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810—FAX 425-257-8857—w�nnv.everettwa.org <br /> APpLICA'f10N5 ARE ACCEPTED FROM 0 AM T04 PM 5 `�� ' t '' <br /> SITE ADDRESS: 7ROPERTYTA7f M M ' ' <br /> �`�I Q�'`` Jn � � �"�u �i - �:;. <br /> L'GAL for new conaWction: Snort PleUcu�dlvlsion__ Lol No._ (attach wp�o(Wnp kgn�tlescripl.on) <br /> OWNER \ `p � PhonelE-mail � ;/ ' P I J d`10 <br /> aareOallU$► \ }"` S�. cav�s��oiziP 8' <br />� ONTRACTOR W��b'�� L d 1 LiC.M {�VQ� Cl a� <br /> ddraes p 1 ' rn Nx/�C�.�. Phone/Email y� �"r1+��f � JI� <br /> TE F1U3 83 NA TACT FOR MIT <br /> v�}�Jt,JL PAo�s/E•meii <br /> BUIL�INGPERMITAPPLICATION oNrrsnCTPRICEOFwoRK ��it�D� <br /> Exlstlng Ux oF Building_. f� �'tiO�J��.. HFAT SOURCE: <br /> Propo9ed Uae ot ilding I�o"�"uP , _ Gas.__ E�ectnc� Olher <br /> Bulldingrype: �SinplePamily ., _Duplex__,Townhouae Mullt•Family _Commerclal <br /> Type of p'oJect: _ .Ne�n _Addllbn _R<rriodol _Repalr�T.I,_Sign, _Sprinkler_�emolitioq Chenye of Use <br /> DesCrlptlon of W ork(adairpnal spnre p�uvlAoAon rnA mc(k)�: —` I - 1 <br />. �.1��,,Q0.�Wti C7�"1 �1,lCTlfi S T `�GdT �l.11ll'� <br /> Heve you atarted working without a p�rmil9 ^YES _NO <br /> MlCMANIGAL PERMIT APPLICATION PLUM��NG PERMIT kPPLICATIdN <br /> ypeofPro)�ct: _New_AGAn AltafBtion,_Repdr ypeolProJecl: _IkW_Addn _Allefation_Rpdr <br /> Show N�mEa�(Y)of/Irtu�es Snaw Numbor(�)d Nrturos <br /> A/C—alrhandli units Tdlet <br /> Forcedairs Stems Baltrtub <br /> Gns I n Lavet waeh besln <br /> Waler heetar SFawer <br /> Gas Tire IaCO Kitchen sink 8 disposal <br /> Gac ranqe Dishweshar <br /> Clolh99 d er Clothas washer <br /> Ran e hootl Weter heater <br /> Eahaust fan Si�k 9BNiC0/bBdR10 /9lC.) <br /> Heat um BackBowprevonter <br /> Unit healer Ufifidl <br /> Boiler Drinkln ountain <br /> Refd nratian Floor drain <br /> W o0tlninva Grease ira <br /> Duclin oo(d�eins <br /> Other,_ Medical Gae <br /> SPRINKLER / SUPPRESSION SYSTlM olhor: <br /> Number o(He6ds I Other. <br /> I heraby;ertify thet 1 havo maJ antl exeminad�his npplication and krow Iha s^�ne to ba Inie and wrtecl.AII provlslons of laws antl artlinancos govarning <br /> this lype of work wlll he compie0 wlth wi�ether spetlfle0 heteln Or noL Tha granting oi a pem7lt doos nol ptesume lo give eNhodry to vioute of tancel <br /> t��e pmvleun af eny otlter slaln or locel law mpulalln]wnetrualon ortha per/ormnnce uf wn3lrw:lion.Tnat I am aulpurRetl by the ownar of mla propam/ <br /> �ta par p m t work lor wfiicli ppllcetlon is meda end I comply wllh Iha Stnla Contrectors Law 1027 RCW and 296.200 WAC <br /> �� � 5-� -1I <br /> Ownor uthorkad Apent filpnatU Dd� (RB�ieBd:7T011) <br />