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0711412011 13:38 BEL-RED HEATING&AIR GOND. (FAX)4254935354 P.0021003 <br /> PERMIT APPLICATION <br /> BUILDINGIM ECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 42.5-257-8857—www.everettwa.org, <br /> APPLICATIONS ARE ACCEPTED FROM a AM TO PM <br /> SITE ADDRESS: PROPERTY TAX a RMIT ��r <br /> a ,, nt a U <br /> LEGAL for now construcllon Short PlnUsubdwiaton Lol No._ (altach copy of long legal description) <br /> OWNERsM[{P_Y\ 'L� ��.rl, PhonolE-moll - -\ \ <br /> Addross tws Clly1Sl2te1zlp <br /> CONTRACTOR •\- L&I Lic.# \ <br /> Address\ \ Q Phone/Emsil <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT - <br /> t`t 41t1S.\\ P'xnv� 2/v` '70•�- <br /> Phone/Emallc, htt <br /> BUILDING PERMIT APPLICATION 1CONTRACT PRICE OF WORK tyM <br /> E�Jsling Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas ✓ Electric Other <br /> Building typo: _Single Family _Duplex_Townhouse _Multl-Famlly _Commercial <br /> Type of project: _New _Addition _Remodel _Repair_T.I._Sign_Sprinkhir_Demolltion_Change of Use <br /> Descrlplten of Work(additional space provdod on the brill): <br /> Have you started working without a porm 10 _YES 1-�NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Project: _Now_Addn _Alforatlon_Ropalr Typo of Project: _New_Addn _Alteration_Rapalr <br /> Show Number a or fixtures Show Number(q)of fixiuras <br /> AIC-air handling units Tollet <br /> Forced airs stems Bathtub <br /> Gas piping Lavatory wash begin <br /> Water healer Shower _ <br /> Gas fire lace Kitchen sink&disposal <br /> Gas range Dishwasher _ <br /> Clothes dryor Clothes washer <br /> Ron q hood Water heater <br /> Exhaust fen Sink servicelbarlmo lett. <br /> Heal pump Backflow preventor <br /> Unll heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor draln <br /> Wootlslove Grease Ire <br /> Duct/ Roof drains <br /> Other. _ Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby cot.ify that I levo read and examined this application and know the same to be into and correct.All previsions of laws and ordinances governing <br /> this typo of work will be complied with whather specified herein or not The granting of a permit does not presume In give authority to violate or cancel <br /> the provision of any other slot*or local law regulating conebuctlon or the performance of construction.Thal 1 em authorized by the owner of this property <br /> to perform the work for which application Is made and I comply with the Slate Contractors Law 15.27 RCW and 290.200 WAC <br /> w *rlA -11 <br /> uth ed Agent Signature Dote <br /> p (Revised 2/1011) <br />