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Dec 28 2016 02:39PM Washington Water Heaters 8663757454 p 1 <br /> PERMIT APPLICATION <br /> BUILDIN ME�PLUMBING/SIGN/SRRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FA}:425-257-8857 www.everettwa.org <br /> SITE ADDRESS:/q 2 �- <br /> LEGAL for new construction: Short Platisubdivision/� Lot Plo_ (attach copy of long legaalllddJescription) <br /> OWNER / Ll `�- Phone/E-Mail �zl� 2 <br /> Address / �I , Gt �'� city/stat mp <br /> APPLICANT:_,Oviner _OvTwr's Agent _Contractor _Contractor's Agent __Tenant(must prmode a ieror or consent tmm mo ownerto do cone in the pace) <br /> CONTRACTOR City Bus. Lic.# 0 fJJ� <br /> Address ` ;r'x:.� r . i ;!;, t >> - �, na C IU 7�-�'S bvG� 1 U�c ae� �1 <br /> _J 4i i L`;f% L.. PhonelEmarl f' <br /> TENANT BUSINESS NAME U011TAFOR PERMITil o <br /> BUILDING PERMIT APP CATION 47 CONTRACT 12RICE OF WORK <br /> E-Asting Use of Building HEAT SOURCE: <br /> Proposed Use of Buil ing Gas f7etric '— <br /> Building type: _ in ie Family _Duplex Townhouse T Mulb-Family �_Commercial C�C 1ti <br /> Type ofioroiea New Addition Remodel Repair T.I. Sin—3p rinkler t] oiition ra'!Li�,.of Use <br /> DESCRIPTION OF WORK lladdittonal space provfded on rhe back): <br /> alp <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project _Now_-__Addn _Alteration_Repair Type of Project _New Addn _Alteration_Rept-sr <br /> Show Number of fixtures Show Number of fixtures <br /> A/C—airhandli units Toilet <br /> Forced airs sterns Bathtub <br /> Gas pipiM Lavato wash basin <br /> 'Plater heater Shower <br /> Gas fireplace Kitchen sink 8.disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink serviceJbarlrrlo eta <br /> Heat Pump Sackfiow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refri erafion Floor drain <br /> Woodstove Grease trap <br /> Dustin Roof drains <br /> Other Medical Gas <br /> SPRINKL-ER/SUPPRESSION SYSTEM Other. <br /> Number of Heads Other. <br /> 1 hereby sanity that I haveread and examined this appkabon and know the same to be true and correct A9 provisions of laws and ordtnancas governing thio►ype ofwwk wa be comp; <br /> other sperifiod herpn or noi_The granting of a permit does not presume to give autho*b violale or cancrJ the provison of arty other state or local law regulating censtruc.9on <br /> That 1 authorized bye ov/mer of tyt/is property 10 perform the wtvk fw�whhich appal motion's made and i<omply wo ttte State Contractors Law 1827 RCW and 296.200A WAC_ <br /> Lt/ <br /> nar/Authorized Agent Signature Date (Revised 92014) <br />